ESE/ES — Diagnosis and Therapy of Glucocorticoid-Induced Adrenal Insufficiency

Patients with current or recent glucocorticoid exposure who may have adrenal suppression require stress-dose coverage during significant stress; suspected adrenal crisis with hemodynamic instability or persistent vomiting/diarrhea should be treated promptly with parenteral glucocorticoid and fluid resuscitation without waiting for confirmatory testing.