title: 'Great tan but I feel awful'. Diagnosis: Autoimmune primary hypoadrenalism.
abstract: 'Everyone says I look great but I feel awful. I've lost weight, I feel sick all the time, I don't have any energy and I struggle just to get through the day'. Andrew is lean and tanned, but he has lost 8 kg since his last visit 3 months ago. He seems a bit flat in mood and listless in manner. He doesn't have a temperature, his blood pressure (BP) is 105/65, and examination of his chest and abdomen is normal. When the results of Andrew's tests come back the following day you are surprised to see abnormalities in his electrolytes.
authors.affiliation: Department of Endocrinology, The Queen Elizabeth Hospital, South Australia. patrick.phillips@nwahs.sa.gov.au
authors.forename: Patrick J
authors.initials: PJ
authors.lastname: Phillips
authors.forename: Warren
authors.initials: W
authors.lastname: Weightman
mesh_terms: D000224:Addison Disease / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D000328:Adult; D006801:Humans; D008297:Male