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Addison's Disease in Three Six-Year-Old Boys FREE

BERNARD MATHIS MALLOY, M.D.; CALVIN W. WOODRUFF, M.D.
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Received for publication Oct. 2, 1957; accepted Nov. 4.

This patient was referred by Dr. James C. Overall.


AMA Am J Dis Child. 1958;95(4):364-369. doi:10.1001/archpedi.1958.02060050366004.
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Addison's disease is rare in childhood. In reviewing the literature prior to June, 1945, Jaudon1 found 12 cases in children aged 10 years or less. Since that time only 12 cases have been reported in the available literature.2-11 Cases of adrenal failure associated with the adrenogenital syndrome were excluded, as were cases occurring before the age of 2 years, because these appear to be a separate group of patients.12 Among these 12 cases reported, 5 were associated with hypoparathyroidism or moniliasis or had a sibling with this combination of diseases.8-11 Four of these five occurred in two families in which other cases of "the syndrome of familial juvenile hypoadrenocorticism and superficial moniliasis"13 occurred. In none of these cases associated with hypoparathyroidism and/or moniliasis was tuberculous involvement of the adrenal found. Tuberculosis is becoming an unusual cause of Addison's disease in childhood, as it has become in

REFERENCES

Jaudon, J. C.:  Addison's Disease in Children , J. Pediat. 28:737-755, 1946;.
Burdick, W. F.; Warthen, R. O.; Cassidy, J. E., and Welsh, W. W.:  Addison's Disease in a 5½-Year-Old Boy , Am. J. Dis. Child. 80:975-981, 1950;.
White, F. P., and Sutton, L. E.:  Addison's Disease in a Negro Child , J. Pediat. 37:778-782, 1950;.
Russell, A., and Potter, C. T.:  Addison's Disease in Childhood , Proc. Roy. Soc. Med. 44:957-960, 1951;.
Mautner, H.:  Addisonian Crisis in a Boy of 4 Years of Age , Bibl. paediat. Basel. , No. (58) , pp. 354-360, 1954;.
Bickel, H., and Stamm, O.:  Über einem Fall von Morbus Addison im Kindesalter infolge Nebennierencirrhose , Helvet. pædiat. acta 3:53-63, 1948;.
Bie, J.:  Morbus Addisonii hos børn: Forekomst hos 2 søskende , Nord. med. 55:193-198, 1956;.
Talbot, N. B.; Butler, A. M., and MacLachlan, E. A.:  The Effect of Testosterone and Allied Compounds on the Mineral, Nitrogen, and Carbohydrate Metabolism of a Girl with Addison's Disease , J. Clin. Invest. 22:583-593, 1943;.
Craig, J. M.; Schiff, L. H., and Boone, J. E.:  Chronic Moniliasis Associated with Addison's Disease , A. M. A. Am. J. Dis. Child. 89:669-684, 1955;.
 Cabot Case 40361 , New England J. Med. 251:442-448, 1954;.
DiGeorge, A. M., and Paschkis, K.:  The Syndrome of Addison's Disease, Hypoparathyroidism, and Superficial Moniliasis , A. M. A. Am. J. Dis. Child. 94:476-478, 1957;.
Williams, A., and Robinson, M. J.:  Addison's Disease in Infancy , Arch. Dis. Childhood 31:265-269, 1956;.
Whitaker, J.; Landing, B. H.; Esselborn, V. M., and Williams, R. R.:  The Syndrome of Familial Juvenile Hypoadrenolcorticism, Hypoparathyroidism and Superficial Moniliasis , J. Clin. Endocrinol. 16:1374-1387, 1956;.
Harrison, H. E., and Darrow, D. C.:  The Distribution of Body Water and Electrolytes in Adrenal Insufficiency , J. Clin. Invest. 17:77-86, 1938;.
Darrow, D. C.; Harrison, H. E., and Taffel, M.:  Tissue Electrolytes in Adrenal Insufficiency , J. Biol. Chem. 130:487-502, 1939;.
Muntwyler, E.; Mellors, R. C.; Mautz, F. R., and Mangun, G. H.:  Electrolyte and Water Equilibria in the Dog: II. Electrolyte and Water Exchange Between Skeletal Muscle and Blood in Adrenal Insufficiency , J. Biol. Chem. 134:367-387, 1940;.
Buell, M. V., and Turner, E.:  Cation Distribution in the Muscles of Adrenalectomized Rats , Am. J. Physiol. 134:225-239, 1941;.
Swingle, W. W.; Parkins, W. M.; Taylor, A. R., and Hays, H. W.:  A Study of Water Intoxication in the Intact and Adrenalectomized Dog and the Influence of Adrenal Cortical Hormone upon Fluid and Electrolyte Distribution , Am. J. Physiol. 119:557-566, 1937;.
Hills, A. G.; Chalmers, T. M.; Webster, G. D., Jr., and Rosenthal, O. H.:  Adrenal Cortical Regulation of the Distribution of Water and Electrolytes in the Human Body , J. Clin. Invest. 32:1236-1247, 1953;.
Wilson, G. M., and Miller, H. E.:  Exchangeable Sodium in Addison's Disease in Relation to the Electrocardiogram and the Action of Cortisone , Clin. Sc. 12:113-129, 1953;.

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References

Jaudon, J. C.:  Addison's Disease in Children , J. Pediat. 28:737-755, 1946;.
Burdick, W. F.; Warthen, R. O.; Cassidy, J. E., and Welsh, W. W.:  Addison's Disease in a 5½-Year-Old Boy , Am. J. Dis. Child. 80:975-981, 1950;.
White, F. P., and Sutton, L. E.:  Addison's Disease in a Negro Child , J. Pediat. 37:778-782, 1950;.
Russell, A., and Potter, C. T.:  Addison's Disease in Childhood , Proc. Roy. Soc. Med. 44:957-960, 1951;.
Mautner, H.:  Addisonian Crisis in a Boy of 4 Years of Age , Bibl. paediat. Basel. , No. (58) , pp. 354-360, 1954;.
Bickel, H., and Stamm, O.:  Über einem Fall von Morbus Addison im Kindesalter infolge Nebennierencirrhose , Helvet. pædiat. acta 3:53-63, 1948;.
Bie, J.:  Morbus Addisonii hos børn: Forekomst hos 2 søskende , Nord. med. 55:193-198, 1956;.
Talbot, N. B.; Butler, A. M., and MacLachlan, E. A.:  The Effect of Testosterone and Allied Compounds on the Mineral, Nitrogen, and Carbohydrate Metabolism of a Girl with Addison's Disease , J. Clin. Invest. 22:583-593, 1943;.
Craig, J. M.; Schiff, L. H., and Boone, J. E.:  Chronic Moniliasis Associated with Addison's Disease , A. M. A. Am. J. Dis. Child. 89:669-684, 1955;.
 Cabot Case 40361 , New England J. Med. 251:442-448, 1954;.
DiGeorge, A. M., and Paschkis, K.:  The Syndrome of Addison's Disease, Hypoparathyroidism, and Superficial Moniliasis , A. M. A. Am. J. Dis. Child. 94:476-478, 1957;.
Williams, A., and Robinson, M. J.:  Addison's Disease in Infancy , Arch. Dis. Childhood 31:265-269, 1956;.
Whitaker, J.; Landing, B. H.; Esselborn, V. M., and Williams, R. R.:  The Syndrome of Familial Juvenile Hypoadrenolcorticism, Hypoparathyroidism and Superficial Moniliasis , J. Clin. Endocrinol. 16:1374-1387, 1956;.
Harrison, H. E., and Darrow, D. C.:  The Distribution of Body Water and Electrolytes in Adrenal Insufficiency , J. Clin. Invest. 17:77-86, 1938;.
Darrow, D. C.; Harrison, H. E., and Taffel, M.:  Tissue Electrolytes in Adrenal Insufficiency , J. Biol. Chem. 130:487-502, 1939;.
Muntwyler, E.; Mellors, R. C.; Mautz, F. R., and Mangun, G. H.:  Electrolyte and Water Equilibria in the Dog: II. Electrolyte and Water Exchange Between Skeletal Muscle and Blood in Adrenal Insufficiency , J. Biol. Chem. 134:367-387, 1940;.
Buell, M. V., and Turner, E.:  Cation Distribution in the Muscles of Adrenalectomized Rats , Am. J. Physiol. 134:225-239, 1941;.
Swingle, W. W.; Parkins, W. M.; Taylor, A. R., and Hays, H. W.:  A Study of Water Intoxication in the Intact and Adrenalectomized Dog and the Influence of Adrenal Cortical Hormone upon Fluid and Electrolyte Distribution , Am. J. Physiol. 119:557-566, 1937;.
Hills, A. G.; Chalmers, T. M.; Webster, G. D., Jr., and Rosenthal, O. H.:  Adrenal Cortical Regulation of the Distribution of Water and Electrolytes in the Human Body , J. Clin. Invest. 32:1236-1247, 1953;.
Wilson, G. M., and Miller, H. E.:  Exchangeable Sodium in Addison's Disease in Relation to the Electrocardiogram and the Action of Cortisone , Clin. Sc. 12:113-129, 1953;.

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