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Addison Disease is a disease that is caused by the deficiency of circulating glucocorticosteroids and mineral corticoids (aldosterone) hormones as a result of disease of the adrenal glands. The causes of Addison Disease are: 1. Auto-immune disease (Type 1 PGA Poly-glandular Autoimmune Syndrome) of the adrenals with destruction of the adrenal parenchyma 2. Tuberculosis of the adrenal glands 3. Adrenal tumors that may be benign or malignant 4. Rare causes are hemorrhage, infarction, and infiltrative diseases The increased pigmentation especially in areas not exposed to the sun (such as buccal…mehr

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Produktbeschreibung
Addison Disease is a disease that is caused by the deficiency of circulating glucocorticosteroids and mineral corticoids (aldosterone) hormones as a result of disease of the adrenal glands. The causes of Addison Disease are: 1. Auto-immune disease (Type 1 PGA Poly-glandular Autoimmune Syndrome) of the adrenals with destruction of the adrenal parenchyma 2. Tuberculosis of the adrenal glands 3. Adrenal tumors that may be benign or malignant 4. Rare causes are hemorrhage, infarction, and infiltrative diseases The increased pigmentation especially in areas not exposed to the sun (such as buccal mucosa and palmar creases) and loss of weight can suggest the diagnosis of Addison Disease This is due to excess pituitary production of ACTH which has melanocytes producing properties. There is also sparse growth of axillary and pubic hairs. Electrolytes especially sodium is low, potassium and urea nitrogen is high ACTH stimulation test with impaired corticoid response is required to confirm diagnosis Plasma cortisol is low (< 3mcg/dL) and do not rise with ACTH stimulation Addison crisis is treated by intravenous normal saline and hydrocortisone 100mg every eight hours Treatment must be done before laboratory confirmation of diagnosis because of the danger of coma Chronic Addison disease requires replacement of glucocorticosteroids: Hydrocortisone 30mg daily (two thirds in the morning, one third in the evening) Cortisone acetate 37.5 mg daily or Fludrocortisones 0.05 to 0.2 mg daily DHEA 50mg orally in the morning Adequate salt intake is important for normal fluid and electrolyte balance. Addison crisis patients have excellent recovery with appropriate treatment Chronic Addison disease patients also recovered well with replacement therapy. Care is needed when there is trauma, infection and surgery TABLE OF CONTENT Introduction Chapter 1 Addison Disease Chapter 2 Interesting Facts about Adrenal Fatigue Chapter 3 Treatment of Adrenal Fatigue Chapter 4 Adrenal Fatigue Chapter 5 Adrenal Tumors Chapter 6 Adrenal Crisis Chapter 7 Cushing Syndrome Epilogue


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Autorenporträt
Dr. Kenneth Kee is a well-known medical doctor from Singapore who has been practicing medicine since 1972.
He graduated from the University of Singapore and furthered his studies with a Master of Science in Health Management in 1991, followed by a Ph.D. in Healthcare Administration in 1993.
Dr. Kee established Kee Clinic in 1974, located in the Holland Drive area of Singapore. The clinic has been a prominent feature of the community, offering general medical services for 5 decades.
Dr Kee also served his country Singapore as a national service police Inspector at night from 1975 to 1985 while working at his clinic during the day.
He had served as a police guard to the Woodland Petroleum Tanks at night during the Indonesian Confrontation period, took part in police rounds at night in the Beach Road area and taught First aid and emergency resuscitation to Police recruits.
He received the Singapore Police Bicentennial 2020 Medallion on 1st March 2024 as recognition for his work in the Singapore Police.
Even as he grew older, Dr. Kee continued to work actively in his clinic, although he eventually reduced his consultation hours.
Beyond his medical career, Dr. Kee is also an author.
He started writing about medical conditions in 2007, using blogs and other online platforms to share his knowledge with a broader audience.
Over time, he published various books, many of which provide simple and accessible guides to different health conditions.
His works include "A Family Doctor's Tale," "My Personal Singapore History," and numerous medical guides, available through platforms like Amazon.
His books often combine his personal experiences as a family doctor with insights into Singapore's healthcare system and history.
Dr. Kee has written extensively on health topics, contributing to both medical literature and general knowledge resources.

Dr. Kenneth Kee has written numerous books, primarily focused on health education and personal experiences as a family doctor. Some of his notable titles include:
"A Family Doctor's Tale"
This book is a blend of Dr. Kee's personal experiences and his reflections on being a family doctor in Singapore. It's a great choice if you're looking for a narrative that combines both medical knowledge and human stories.
"Specialized Medical Conditions"
Books like **"Congestive Heart Failure: Diagnosis and Treatment"** focus on specific conditions, offering in-dept...