Diagnosis of Addison's Disease
The diagnosis of Addison's disease involves a combination of physical examination, laboratory tests, and imaging. The physical examination is usually normal, but may reveal low blood pressure, hypoglycemia, and evidence of other hormone deficiencies. Laboratory tests will include a complete blood count, electrolyte tests, and a cortisol level test. An ACTH stimulation test may also be ordered to help diagnose Addison's disease. Imaging tests such as abdominal and pelvic ultrasounds may be ordered to look for other causes of the symptoms.
Treatment of Addison's Disease
Treatment of Addison's disease involves replacing the hormones that are deficient. This is usually done with oral hydrocortisone and fludrocortisone. Other medications may be prescribed to manage symptoms such as low blood pressure or electrolyte imbalances. Patients with Addison's disease will need to have their hormone levels monitored regularly to ensure that they are receiving the correct doses. Regular follow-up with an endocrinologist is recommended to monitor for any complications.