HYPOTHESIS We hypothesized that hypothyroidism and adrenal insufficiency frequently occur together in critically ill patients. DESIGN A prospective observational study. SETTING Surgical intensive care unit of a university-affiliated tertiary referral center. PATIENTS Sixty-six consecutive patients with severe sepsis, septic shock, and hemorrhagic shock who required pulmonary artery cathet...

Introduction. Many diseases and conditions can contribute to elevated liver enzymes. Common causes include viral and autoimmune hepatitis, fatty liver, and bile duct diseases, but, in uncommon cases like liver involvement in endocrine disorders, liver failure is also seen. Adrenal insufficiency is the rarest endocrine disorder complicating the liver. In the previously reported cases of adrenal ...

OBJECTIVE To determine the prevalence of adrenal insufficiency in infants with hemangiomas following treatment with systemic glucocorticoids (GCs). DESIGN Prospective study for 18 months. SETTING Hemangioma and vascular malformation center at a tertiary care children's hospital. PATIENTS Sixteen infants with hemangiomas had an adrenal axis evaluation as soon as possible following the comp...

Endocrine emergencies are commonly encountered in the ICU. This article focuses on several important endocrine emergencies, including diabetic hyperglycemic states, adrenal insufficiency, myxedema coma, thyroid storm, and pituitary apoplexy. Other endocrine issues that are related to intensive care, such as intensive insulin therapy, relative adrenal insufficiency, and thyroid function test abn...