Addisonian crisisis mainly due to an absence of adrenal hormones, while unconsciousness to a lack of mineralcorticoids in children with adrenogenital syndrome. Both may represent the onset of the disease, being a sign of metabolic decompensation in patients already diagnosed and treated.
The symptoms are: asthenia deep, hypotension, profuse sweating, dehydration, hyperactivity, evident cyanosis, hypoglycemia, and disturbance of consciousness.
It is necessary to proceed Immediately with oxygen therapy to achieve an adequate level of respiration and saline to hydrate the patient.
Tests to be performed are arterial PH, electrolytes, blood glucose, azotemia, creatininemia, ECG.
Source: Mediserve‘s Medical Emergencies in Pediatrics.
