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Addison's Disease Health Article

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Definition

Addison's disease is a disorder involving disrupted functioning of the part of the adrenal gland called the cortex. This results in decreased production of two important chemicals (hormones) normally released by the adrenal cortex: cortisol and aldosterone.

Description

The adrenals are two glands, each perched on the upper part of the two kidneys. The outer part of the gland is known as the cortex; the inner part is known as the medulla. Each of these parts of the adrenal gland is responsible for producing different types of hormones.

Cortisol is a very potent hormone produced by the adrenal cortex. It is involved in regulating the functioning of nearly every type of organ and tissue throughout the body, and is considered to be one of the few hormones absolutely necessary for life. Cortisol is involved in:

  • the very complex processing and utilization of many nutrients, including sugars (carbohydrates), fats, and proteins
  • the normal functioning of the circulatory system and the heart
  • the functioning of muscles
  • normal kidney function
  • production of blood cells
  • the normal processes involved in maintaining the skeletal system
  • proper functioning of the brain and nerves
  • the normal responses of the immune system

Aldosterone, also produced by the adrenal cortex, plays a central role in maintaining the appropriate proportions of water and salts in the body. When this balance is upset, the volume of blood circulating throughout the body will fall dangerously low, accompanied by a drop in blood pressure.

Addison's disease is also called primary adrenocortical insufficiency. In other words, some process interferes directly with the ability of the adrenal cortex to produce its hormones. Levels of both cortisol and aldosterone drop, and numerous functions throughout the body are disrupted.

Addison's disease occurs in about four in every 100,000 people. It strikes both men and women of all ages.

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Author Info: Rosalyn Carson-DeWitt MD, The Gale Group Inc., Gale, Detroit, Gale Encyclopedia of Medicine, 2002
 
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