What is Primary Chronic Adrenocortical Insufficiency?

Primary Chronic Adrenocortical Insufficiency
Normal chest roentgenogram with a narrow cardiac silhouette consistent with Addison's disease. Who is teaching 'Fluid and Electrolytes'?: Kettritz R, Luft FC - Clinical kidney journal (2012). Not altered. CC.

Primary chronic adrenocortical insufficiency is characterized by a chronic decreased aldosterone and cortisol production due to diminished gland function.

Examples of primary chronic adrenocortical insufficiency include: 

  • Addison disease
  • Autoimmune adrenalitis
  • Autoimmune polyendocrine syndrome type 1 (APS1)
  • Autoimmune polyendocrine syndrome type 2 (APS2) 
  • Tuberculosis adrenalitis
  • Infections related adrenocortical insufficiency
  • Metastasis related adrenocortical insufficiency
  • Genetic related adrenocortical insufficiency