Central Adrenal Insufficiency in PWS

Jennifer L Miller, M.D., M.S. — Pediatric Endocrinology University of Florida

 Because some children with PWS do not have fevers when ill, it can be difficult for parents and physicians to know when the child is sick enough to put the body under significant stress to accuratelyl assess the presence of central adrenal insufficiency.  Thus a stimulation test may be the best way to detect adrenal insufficiency.

This is important when faced with a hospital emergency; parents should discuss this further with their child's endocrinologist.

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