MENA 2024 Recordings-Glucocorticoid Induced Adrenal Insufficiency

Video Transcription

Video Summary

The talk primarily discusses the challenges and intricacies associated with glucocorticoid-induced adrenal insufficiency. It highlights the significant use of steroids across various medical specialties for immunosuppression or anti-inflammatory purposes, leading to suppression of the hypothalamic-pituitary-adrenal (HP) axis. The prevalence of such suppression ranges around 37%, with increased risk in the elderly. High doses or prolonged use of steroids like prednisone can result in complications such as diabetes and hypertension. The talk underscores the importance of comprehensive assessment and tapering of steroid use, considering factors like dosage forms, BMI, and patient age. It also distinguishes between adrenal crisis and glucocorticoid withdrawal syndrome, suggesting slower tapering as an effective remedy for withdrawal. Emphasis is placed on educating healthcare professionals about managing long-term steroid use and ensuring patients are informed about potential side effects, highlighting the necessity for collaborative care and better management strategies to mitigate risks.

Asset Subtitle

Dr. Adnan Ajmal

Keywords

glucocorticoid-induced adrenal insufficiency

steroid use

hypothalamic-pituitary-adrenal axis

adrenal crisis

glucocorticoid withdrawal syndrome

collaborative care