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STRUCTURAL OR FUNCTIONAL DISORDERS OF THE ADRENAL CORTEX

Impairment of the whole person may result from hypersecretion or hyposecretion of the cortical hormones. Such an abnormality may be associated with dysfunction of another endocrine gland, for instance, the pituitary. If this occurs, impairment from the adrenal abnormality is evaluated together with the other dysfunction using the Combined Values Chart.

Severity of Hypoadrenallsm % Impairment of the Whole Person
Symptoms and signs controlled with medical therapy 1—10
Symptoms and signs controlled inadequately, usually during the course of acute illnesses 11—50
Severe symptoms of adrenal crisis during major illness, usually due to severe glucocorticoid deficiency and/or sodium depletion 51—90
   
Severity of Hyperadrenocorticlem % Impairment of the Whole Person
Minimal, as with hyperadrenocorticism that is surgically correctable by removal of a pituitary or adrenal adenoma 1—10
Moderate, as with bilateral hyperplasia that Is treated with medical therapy or adrenalectomy 11—50
Severe, as with aggressively metastasizing adrenal carcinoma 51—90

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