endocrine
Addison's disease (hypoadrenocorticism)
Answer
Addison's disease management typically costs $1,200 to $3,000 per year, including DOCP injections every 25 days, daily prednisone, and quarterly electrolyte monitoring. Initial Addisonian crisis admission can exceed $3,000. Insurance covers Addison's when not pre-existing.
Signs to watch for
- 01Episodic vomiting, diarrhea, lethargy.
- 02Weakness, poor appetite, weight loss.
- 03Severe collapse with bradycardia in Addisonian crisis.
Treatment options
- 01Desoxycorticosterone pivalate (DOCP / Zycortal) injections.
- 02Daily oral prednisone or fludrocortisone.
- 03Electrolyte and ACTH monitoring every 3 to 6 months.
- 04IV fluids and corticosteroids for Addisonian crisis.
Prognosis: manageable
Typical cost in the US
How insurance handles it
Lifelong treatment. DOCP injections and monitoring are typically reimbursed when prescribed for a covered diagnosis.
Frequently asked
An Addisonian crisis is an acute, life-threatening decompensation of Addison's disease, usually triggered by stress or missed medication. It requires emergency hospitalization with IV fluids, dextrose, and corticosteroids.