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Addison’s disease when treated with adequate replacement therapy has a good prognosis and life expectancy approximates normal. Lifelong medical supervision is required for signs of continued adequate therapy and avoidance of overdose and avoidance of complications such as hyperpyrexia, Addisonian crisis, psychotic reactions and hyperkalemic paralysis. It must be differentiated from conditions such as pituitary stalk resection, withdrawal from long term use of steroids, Sheehan’s syndrome and trauma.
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