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Which are the causes of Adrenal Insufficiency?

See some of the causes of Adrenal Insufficiency according to people who have experience in Adrenal Insufficiency

Adrenal Insufficiency causes

Causes of Adrenal Insufficiency


Adrenal insufficiency, also known as Addison's disease, is a rare disorder that occurs when the adrenal glands do not produce enough of certain hormones, particularly cortisol and sometimes aldosterone. This condition can be caused by various factors, including:



Autoimmune Disease


Autoimmune adrenal insufficiency is the most common cause of adrenal insufficiency. In this condition, the body's immune system mistakenly attacks and destroys the adrenal glands. The exact cause of this autoimmune response is unknown, but it is believed to involve a combination of genetic and environmental factors.



Infections


Infections can also lead to adrenal insufficiency. Tuberculosis, a bacterial infection, is a common cause in developing countries. Other infections, such as fungal infections or certain viral infections, can also affect the adrenal glands and impair their function.



Adrenal Gland Damage


Damage to the adrenal glands can occur due to various reasons. Surgical removal of the adrenal glands, often performed to treat certain tumors or cancers, can result in adrenal insufficiency. Additionally, trauma or injury to the adrenal glands can disrupt their normal function.



Medications


Long-term use of certain medications can suppress the adrenal glands and lead to adrenal insufficiency. These medications include corticosteroids, which are commonly prescribed for conditions such as asthma, rheumatoid arthritis, and lupus. Prolonged use of these medications can interfere with the natural production of cortisol by the adrenal glands.



Genetic Disorders


Genetic disorders can also cause adrenal insufficiency. Some individuals are born with genetic mutations that affect the function of the adrenal glands. Examples of such disorders include congenital adrenal hyperplasia and familial glucocorticoid deficiency.



Pituitary Gland Dysfunction


The adrenal glands are regulated by the pituitary gland, which produces a hormone called adrenocorticotropic hormone (ACTH). ACTH stimulates the adrenal glands to produce cortisol. If the pituitary gland is not functioning properly and does not release enough ACTH, it can result in adrenal insufficiency.



Other Causes


In rare cases, adrenal insufficiency can be caused by hemorrhage into the adrenal glands, amyloidosis (abnormal protein buildup), or cancer metastasis to the adrenal glands.



It is important to note that the specific cause of adrenal insufficiency may vary from person to person. Proper diagnosis and identification of the underlying cause are crucial for appropriate treatment and management of the condition.


Diseasemaps
5 answers
No known causes that I know of. Your adrenal gland is just fatigued and not putting out enough cortisol

Posted Feb 24, 2017 by Maryssa 2100
Addisons disease (genetics) and too high a dose of steroids given in infection treatment and/or too fast a withdrawal of the same.

Posted Apr 19, 2017 by Bubbly 2101
According to the NIDDK
Autoimmune disorders cause most cases of Addison’s disease. Infections and medications may also cause the disease.

Autoimmune Disorders
Up to 80 percent of Addison’s disease cases are caused by an autoimmune disorder, which is when the body’s immune system attacks the body’s own cells and organs.2 In autoimmune Addison’s, which mainly occurs in middle-aged females, the immune system gradually destroys the adrenal cortex—the outer layer of the adrenal glands.2

Primary adrenal insufficiency occurs when at least 90 percent of the adrenal cortex has been destroyed.1 As a result, both cortisol and aldosterone are often lacking. Sometimes only the adrenal glands are affected. Sometimes other endocrine glands are affected as well, as in polyendocrine deficiency syndrome.

Polyendocrine deficiency syndrome is classified into type 1 and type 2. Type 1 is inherited and occurs in children. In addition to adrenal insufficiency, these children may have

underactive parathyroid glands, which are four pea-sized glands located on or near the thyroid gland in the neck; they produce a hormone that helps maintain the correct balance of calcium in the body.
slow sexual development.
pernicious anemia, a severe type of anemia; anemia is a condition in which red blood cells are fewer than normal, which means less oxygen is carried to the body’s cells. With most types of anemia, red blood cells are smaller than normal; however, in pernicious anemia, the cells are bigger than normal.
chronic fungal infections.
chronic hepatitis, a liver disease.
Researchers think type 2, which is sometimes called Schmidt’s syndrome, is also inherited. Type 2 usually affects young adults and may include

an underactive thyroid gland, which produces hormones that regulate metabolism
slow sexual development
diabetes, in which a person has high blood glucose, also called high blood sugar or hyperglycemia
vitiligo, a loss of pigment on areas of the skin
Infections
Tuberculosis (TB), an infection that can destroy the adrenal glands, accounts for 10 to 15 percent of Addison’s disease cases in developed countries.1 When primary adrenal insufficiency was first identified by Dr. Thomas Addison in 1849, TB was the most common cause of the disease. As TB treatment improved, the incidence of Addison’s disease due to TB of the adrenal glands greatly decreased. However, recent reports show an increase in Addison’s disease from infections such as TB and cytomegalovirus. Cytomegalovirus is a common virus that does not cause symptoms in healthy people; however, it does affect babies in the womb and people who have a weakened immune system—mostly due to HIV/AIDS.2 Other bacterial infections, such as Neisseria meningitidis, which is a cause of meningitis, and fungal infections can also lead to Addison’s disease.

Other Causes
Less common causes of Addison’s disease are

cancer cells in the adrenal glands
amyloidosis, a serious, though rare, group of diseases that occurs when abnormal proteins, called amyloids, build up in the blood and are deposited in tissues and organs
surgical removal of the adrenal glands
bleeding into the adrenal glands
genetic defects including abnormal adrenal gland development, an inability of the adrenal glands to respond to ACTH, or a defect in adrenal hormone production
medication-related causes, such as from anti-fungal medications and the anesthetic etomidate, which may be used when a person undergoes an emergency intubation—the placement of a flexible, plastic tube through the mouth and into the trachea, or windpipe, to assist with breathing
What causes secondary adrenal insufficiency?
A lack of CRH or ACTH causes secondary adrenal insufficiency. The lack of these hormones in the body can be traced to several possible sources

Posted Jan 9, 2018 by Linda 1520
Many causes are known, however, not all. CAH, Addison's, autoimmune diseases, hypothalamus and HPA failure, pituitary failure, brain damage, diseases like AIDS and HIV, Sheehan's from maternal bleeding, blunt force trauma, hereditary Hemochromatosis with iron deposits, genetics, steroid usage, tumors that can be macro-big or micro-very small, cancer, adrenal gland damage, and many other factors.

Posted Jan 29, 2024 by AdrienneSmith 1600

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