Abstract

Introduction

Addison’s disease is a rare endocrine disorder in pregnancy. Incidence is 4 to 11/100,000 cases. Nontreated primary adrenal insufficiency reduces fertility. Addisonian crises is life threatening and can accompany stressful conditions like labour, puerperium, infection, hyperemesis gravidarum or surgery. Maternal mortality has reduced with introduction of glucocorticoid therapy.

Here we describe the multidisciplinary management of an Addisonian patient that resulted in successful maternal and foetal outcome.

Case Presentation

A 27 years old female, G3P1L0A1, 14 weeks of gestation, previous LSCS, last child birth two years back, with LMP: 10/03/2018 and EDD: 15/12/2018 known case of Addison’s disease on treatment for the past 6 months with T. Hydrocortisone 10 mg BD came for routine antenatal check-up.