<unk>  (CIRCI) is a form of adrenal insufficiency in<unk> ly ill patients who have blood<unk>  levels which are inadequate for the severe stress response they experience. Combined with decreased glucocorticoid receptor sensitivity and tissue response to<unk> s, this adrenal insufficiency constitutes a negative prognostic factor for intensive care patients.
The hypothalamic-pituitary-adrenal axis (HPA axis), in which the hypothalamus and pituitary gland control adrenal secretions,  undergoes profound changes during<unk><unk> . Both very high and very low levels of cortisol have been linked to a poor outcome in intensive care patients. It has been suggested that high levels could represent severe stress, whereas low levels are due to blunted cortisol production and response.
CIRCI can be suspected in patients with low blood pressure (low blood pressure) despite resuscitation with intravenous fluids and vasopressor drugs. The Surviving Sepsis Campaign guidelines advocate intravenous hydrocortisone only in adults with septic shock and refractory hypotension. The exact definition of this condition, the best ways to test for corticoid insufficiency in<unk> ly ill patients, and the therapeutic use of (usually low doses) of<unk> s remains a subject of debate.
Critical illness-related corticosteroid insufficiency
Glucocorticoid resistance
Secondary adrenal insufficiency
SSRI discontinuation syndrome
Autoimmune polyendocrine syndrome
Thyroid hormone resistance
Latent autoimmune diabetes
ACTH-secreting tumor