Recognition and treatment of adrenal crisis complicated with nephrotic syndrome in children / 中国小儿急救医学

ABSTRACT

Up to 60% of children with nephrotic syndrome may occur secondary adrenal insufficiency, and even adrenal crisis.Adrenal crisis is one of the serious complications of nephrotic syndrome in children.The mortality rate is high and it seriously threatens the life.Adrenal crisis is often lack of specific manifestations, and usually begin with gastrointestinal symptoms, accompanied by circulatory dehydration, neuropsychiatric symptoms, hyponatremia, hyperkalemia and hypoglycemia.Glucocorticoid replacement therapy is important.Active prevention can reduce the incidence of crisis and improve prognosis.