A case of successful pregnancy in Addison's disease.

Hwang, Ju Youn; Lee, Hyun Joon; Chae, Yong Hyun; Oh, Ja Rang; Yoon, Duk Kyoung; Seo, Kyung

Case Report

Korean Journal of Obstetrics & Gynecology 2006;49(2):443-447.
Published online February 1, 2006.

A case of successful pregnancy in Addison's disease.

Ju Youn Hwang, Hyun Joon Lee, Yong Hyun Chae, Ja Rang Oh, Duk Kyoung Yoon, Kyung Seo

Department of Obstetrics and Gynecology, College of Medicine, Yonsei University, Yongdong Severance Hospital, Seoul, Korea. kyungseo@yumc.yonsei.ac.kr

Abstract

Primary adrenal insufficiency is a rare disease which can lead to fatal outcomes when complicated in pregnancy. The vague symptoms such as nausea, fatigue and abdominal pain may interfere with its diagnosis. But once the diagnosis is made after a simple ACTH stimulation test, a successful pregnancy and delivery can be accomplished by replacement of steroids. It is to be noted that proper management in crises such as labor, delivery, operation and postpartum is very important. We report a case of successful delivery of a woman with primary adrenal insufficiency with a brief review of literature.

Key Words: Primary adrenal insufficiency, Pregnancy, Steroid