clinical features

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The clinical features vary according to aetiology.

In previously untreated patients:

  • intensification of pre-existing symptoms, especially nausea, vomiting, epigastric pain
  • possibly, fever
  • lethargy
  • hypotension
  • hypovolaemic vascular shock

In patients previously treated with glucocorticoids, hypovolaemic shock is a late finding since mineralocorticoid secretion is usually preserved.

Last reviewed 01/2018