Insufficiency of Adrenal Cortex Complicated by Hyperthyroidism

Abstract

food, bath and succinylsulfathiazole, of which he had taken 159 Gm. A blood sulfathiazole determination 6 taken at this time was again too low to be read. Physical examination showed that the patient was seriously ill, with a temperature of 104.5 F., a pulse rate of 120 and a respiratory rate of 20. The skin was dry and noncyanotic. There was some swelling of the right side of the neck. The throat was bright red with a few small superficial ulcérations. There was uvular and pharyngeal edema. In twelve hours the temperature was 105 F., pulse rate 120 and respiratory rate 28. The edema of the throat had increased so much that it became difficult for the patient to breathe or even swallow water. In the mouth and throat appeared a thick, gray, tenacious mucoid material which added to the patient's discomfort. An epinephrine spray (1 : 100) to the throat and aspiration of the mucus from the mouth and throat gave a minimal amount of comfort.

Coexistent Addison's Disease and Thyrotoxicosis

“…Critical review of the literature reveals only 12 adequately documented instances [1][2][3][4][5][6][7][8][9][10][11] of this association. Chronologic study of these cases mirrors the steady in-crease in our understanding of endocrine diseases at the bedside and the development of newer techniques in the laboratory.…”