{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,5,5]],"date-time":"2023-05-05T06:11:14Z","timestamp":1683267074510},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"739","license":[{"start":{"date-parts":[[1987,5,1]],"date-time":"1987-05-01T00:00:00Z","timestamp":546825600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1987,5,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>Three women were admitted to the surgical wards with acute gastro-intestinal symptoms and despite good clinical (pigmentation, hypotension) and biochemical (hyponatraemia, acidosis) evidence of Addisonian crisis had unnecessary investigations with delay in the diagnosis and appropriate management of this medical emergency. Clinicians should take careful note of the typical electrolyte upset seen in Addisonian crisis.<\/jats:p>","DOI":"10.1136\/pgmj.63.739.367","type":"journal-article","created":{"date-parts":[[2008,12,29]],"date-time":"2008-12-29T21:05:27Z","timestamp":1230584727000},"page":"367-369","source":"Crossref","is-referenced-by-count":4,"title":["Missed Addisonian crisis in surgical wards"],"prefix":"10.1093","volume":"63","author":[{"given":"M","family":"Small","sequence":"first","affiliation":[{"name":"University Department of Medicine, and Diabetic Unit, Royal Infirmary , 10 Alexandra Parade, Glasgow G31 2ER , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A C","family":"MacCuish","sequence":"additional","affiliation":[{"name":"University Department of Medicine, and Diabetic Unit, Royal Infirmary , 10 Alexandra Parade, Glasgow G31 2ER , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J A","family":"Thomson","sequence":"additional","affiliation":[{"name":"University Department of Medicine, and Diabetic Unit, Royal Infirmary , 10 Alexandra Parade, Glasgow G31 2ER , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1987,5,1]]},"reference":[{"key":"ref_1","first-page":"744","article-title":"Epidemiological and clinical picture ofAddison's disease","volume":"ii:","author":"Stuart Mason, A.; Meade, T.W.; Lee, J.A.H.; Morris, J.N.","unstructured":"Stuart Mason, A., Meade, T.W., Lee, J.A.H. & Morris, J.N. Epidemiological and clinical picture ofAddison's disease. Lancet 1968, ii: 744-747.","journal-title":"Lancet 1968"},{"key":"ref_2","first-page":"149","article-title":"The clinical and immunological association of diabetes mellitus and Addison's disease","author":"Nerup, J.","year":"1974","unstructured":"Nerup, J. The clinical and immunological association of diabetes mellitus and Addison's disease. In: Bastenie, P.A., Gepts, W. (eds) Immunity and Autoimmunity in Diabetes Mellitus. Excerpta Medica, Amsterdam 1974, pp. 149-152.","journal-title":"Excerpta Medica, Amsterdam; Immunity and Autoimmunity in Diabetes Mellitus"},{"key":"ref_3","first-page":"666","article-title":"Diabetes and other endocrinologic disorders","volume-title":"Joslin's Diabetes Mellitus","author":"Kozak, G.P.","year":"1971","unstructured":"Kozak, G.P. Diabetes and other endocrinologic disorders. In: Marble, A., White, P., Bradley, R.F., Krall, L.P. (eds). Joslin's Diabetes Mellitus (11th edition). Philadelphia: Lea and Febiger, 1971, pp. 666-694.","edition":"11th edition"},{"key":"ref_4","first-page":"1","article-title":"Immunological aspects of diabetes mellitus: a review (including the salient points of the NDDG. report on the classification of diabetes)","volume-title":"Immunology of Diabetes","author":"Irvine, W.J.","year":"1980","unstructured":"Irvine, W.J. Immunological aspects of diabetes mellitus: a review (including the salient points of the NDDG. report on the classification of diabetes). In: Irvine, W.J. (ed) Immunology of Diabetes. Teviot Scientific Publications, Edinburgh, 1980, pp. 1-53."},{"key":"ref_5","article-title":"Disorders of the adrenal cortex","volume-title":"patients who present in medical as well as; Williams Textbook of Endocrinology (7th edition). W. B. Saunders Company, ketonuria in this case was related more to starvation. The improvement, without insulin administration, would support this suggestion. Any diabetic presenting with an acidosis and relatively normal glucose levels should however receive intravenous insulin and hypertonic glucose to correct the acidosis in addition to any other appropriate intravenous fluid therapy. In 1885\" Addison described an 'irritability of the stomach and a peculiar change of colour of the skin","author":"Bondy, P.K.","unstructured":"Bondy, P.K. Disorders of the adrenal cortex. In: Wilson, J.lD., Foster, D.W. (eds) Williams Textbook of Endocrinology (7th edition). W.B. Saunders Company, ketonuria in this case was related more to starvation. The improvement, without insulin administration, would support this suggestion. Any diabetic presenting with an acidosis and relatively normal glucose levels should however receive intravenous insulin and hypertonic glucose to correct the acidosis in addition to any other appropriate intravenous fluid therapy. In 1885\" Addison described an 'irritability of the stomach and a peculiar change of colour of the skin'. In patients who present in medical as well as surgical wards with these clinical phenomena, and exhibit the characteristic biochemical abnormalities of acute adrenal insufficiency, there should be no undue delay in the diagnosis of this medical emergency."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"576","DOI":"10.1056\/NEJM197709152971104","article-title":"R.' Amelioration of metabolic acidosis with fludrocortisone therapy in hyporeninemic hypoaldosteronism","volume":"297","author":"Sebastian, A.; Schambelan, M.; Lindenfeld, S.; Morris, Curtis","year":"1977","unstructured":"Sebastian, A., Schambelan, M., Lindenfeld, S. & Curtis Morris, R.' Amelioration of metabolic acidosis with fludrocortisone therapy in hyporeninemic hypoaldosteronism. N Engl J Med 1977, 297: 576-583.","journal-title":"N Engl J Med"},{"key":"ref_7","first-page":"437","article-title":"Diabetic emergencies; practical aspects of the management of diabetic ketoacidosis and diabetes during surgery","volume":"9","author":"Johnston, D.G.; Alberti, K.G.M.M.","year":"1980","unstructured":"Johnston, D.G. & Alberti, K.G.M.M. Diabetic emergencies; practical aspects of the management of diabetic ketoacidosis and diabetes during surgery. Clin Endocrinol Metab 1980, 9: 437-460.","journal-title":"Clin Endocrinol Metab"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1530\/acta.0.0760127","article-title":"Addison's disease - clinical studies. A report of 108 cases","volume":"76","author":"Nerup, J.","year":"1974","unstructured":"Nerup, J. Addison's disease - clinical studies. A report of 108 cases. Acta Endocrinol 1974, 76: 127-141.","journal-title":"Acta Endocrinol"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1136\/bmj.1.6054.145-a","article-title":"Hypercalcaemic crisis as presentation of Addison's disease","volume":"1","author":"Downie, W.W.; Gunn, A.; Paterson, C.R.; Howie, G.F.A.","year":"1977","unstructured":"Downie, W.W., Gunn, A., Paterson, C.R. & Howie, G.F.A. Hypercalcaemic crisis as presentation of Addison's disease. Br Med J 1977, 1: 145-146.","journal-title":"Br Med J"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1007\/BF02411297","article-title":"Etiology of hypercalcaemia in a patient with Addison's disease","volume":"34","author":"Muls, E.; Bouillon, R.; Boelaert, J.; Lamberigts, G.; Van Imschoot, S.; Daneels, R.; De Moore, P.","year":"1982","unstructured":"Muls, E., Bouillon, R., Boelaert, J., Lamberigts, G., Van Imschoot, S., Daneels, R. & De Moore, P. Etiology of hypercalcaemia in a patient with Addison's disease. Calcif Tissue Int 1982, 34: 523-526.","journal-title":"Calcif Tissue Int"},{"key":"ref_11","article-title":"On the constitutional and local effects of disease ofthe suprarenal capsules","author":"Addison, T.","year":"1855","unstructured":"Addison, T. On the constitutional and local effects of disease ofthe suprarenal capsules. Higley, London, 1855."}],"container-title":["Postgraduate Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/63\/739\/367\/50080484\/postgradmedj-63-367.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/63\/739\/367\/50080484\/postgradmedj-63-367.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,5]],"date-time":"2023-05-05T05:38:39Z","timestamp":1683265119000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/pmj\/article\/63\/739\/367\/7047436"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1987,5,1]]},"references-count":11,"journal-issue":{"issue":"739","published-online":{"date-parts":[[1987,5,1]]},"published-print":{"date-parts":[[1987,5,1]]}},"URL":"https:\/\/doi.org\/10.1136\/pgmj.63.739.367","relation":{},"ISSN":["0032-5473","1469-0756"],"issn-type":[{"value":"0032-5473","type":"print"},{"value":"1469-0756","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1987,5]]},"published":{"date-parts":[[1987,5,1]]}}}