Medicina Fluminensis, Vol. 62 No. 1, 2026.
Pregledni rad
https://doi.org/10.21860/medflum2026_343523
Emergencies in Pediatric Endocrinology
Lucija Barešić
; Sveučilište u Rijeci, Medicinski fakultet, Rijeka, Hrvatska
*
Iva Bilić Čače
; Klinički bolnički centar Rijeka, Klinika za pedijatriju, Rijeka, Hrvatska
Ivona Butorac Ahel
; Klinički bolnički centar Rijeka, Klinika za pedijatriju, Rijeka, Hrvatska
* Dopisni autor.
Sažetak
Emergencies in paediatric endocrinology are rare, life-threatening conditions that often remain unrecognized. Delayed diagnosis and delayed treatment further contribute to mortality, which is already high in these conditions. Endocrine emergencies can be an acute complication of an underlying endocrinopathy, but often also the first presentation of an undiagnosed endocrine disorder. This review article presents the clinical picture, diagnosis and treatment of diabetic ketoacidosis (DKA), adrenal insufficiency and thyrotoxic crisis. DKA is the most common emergency in paediatric endocrinology. It is characterized by hyperglycemia, acidosis, ketosis and dehydration. The basic principles of DKA treatment include fluid replacement, insulin administration, and correction of electrolyte imbalance. Fluid replacement is the most important component in the treatment of DKA. Adrenal crisis and thyrotoxic crisis are rare conditions, and untimely recognition of these emergencies is associated with high mortality.
Ključne riječi
adrenal insufficiency; diabetic ketoacidosis; thyrotoxic crisis
Hrčak ID:
343523
URI
Datum izdavanja:
1.3.2026.
Posjeta: 289 *