Simulation of Cardiac Disease by Adrenocortical Failure in Infants

Abstract

ADRENAL insufficiency, although uncommon in infants, appears to be a definite clinical entity when associated with congenital adrenal hyperplasia. Recent reports in the pediatric literature attest to the probability that this syndrome occurs more frequently than has been previously supposed and indicate that the diagnosis is often overlooked.^{1 , 2} It is significant that even in the cases that have been recognized the primary diagnosis was invariably pyloric stenosis or some other type of gastrointestinal disorder.^{3 , 4} In none of the reported cases were the cardiac abnormalities incident to hyperpotassemia a striking feature. This paper deals with 3 children born to a healthy . . .