Pregnancy with Addison Disease; A Case Series

Abstract

Addison disease or primary adrenocortical insufficiency is rare and potentially lethal
endocrine disorder, in pregnancy it is even more rarely seen. We report two cases of Patients with
known addisons disease were taking treatment before the pregnancy. Both patients fortunately
were of same age and conceived spontaneously but had different associated illnesses. Both were
very compliant and co operative and they both delivered at around 37 weeks , and were managed
in collaboration with the endocrinologist and dietitian. Both patients had uneventful recovery after
normal delivery and cessarian section respectively. Therefore we conclude that Patient
education, monitoring and titration of her steroids are the only ways to avoid complications
associated with the under or over treatment with steroids and should be managed by the
multidisciplinary team.