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→Secondary Hypoadrenocortisism
===Secondary Hypoadrenocortisism===
===Secondary Hypoadrenocortisism===
Deficient pituitary secretion of ACTH. Often '''iatrogenic''' due to withdrawal of glucocorticoid treatment. Prolonged high dose treatment induce adrenal atrophy due to the effect of negative feedback on the pituitary. The withdrawal of drug must be gradual to allow to adrenal gland to return to function over a period of time.
Deficient pituitary secretion of ACTH. Often '''iatrogenic''' due to withdrawal of glucocorticoid treatment. Prolonged high dose treatment induce adrenal atrophy due to the effect of negative feedback on the pituitary. The withdrawal of drug must be gradual to allow the adrenal gland to return to function over a period of time.
Usually little effect on mineralocorticoids as ACTH has little trophic effect on their production.
Usually little effect on mineralocorticoids as ACTH has little trophic effect on their production.