title: Generalized pigmentation due to Addison disease.
abstract: A 10-year-old boy presented with generalized hyperpigmentation, abdominal pain, change in behavior and, no weight gain for 2 years. On examination, he had hypotension and generalized hyperpigmentation that was more marked on gingival mucosa and frictional sites. Serum cortisol was markedly decreased and his CT scan abdomen showed adrenal atrophy. On the basis of clinical and laboratory findings, a diagnosis of Addison disease was made.
authors.affiliation: Jagjivan Ram Hospital, Mumbai Central, Mumbai, India. rkderm@gmail.com
authors.forename: Rajesh
authors.initials: R
authors.lastname: Kumar
authors.forename: Sita
authors.initials: S
authors.lastname: Kumari
authors.forename: Pradeep Kumar
authors.initials: PK
authors.lastname: Ranabijuli
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000224:Addison Disease / Q000097:blood / Q000150:complications / Q000175:diagnosis* / Q000209:etiology; D002648:Child; D006130:Growth Disorders / Q000209:etiology; D006801:Humans; D006854:Hydrocortisone / Q000172:deficiency; D017495:Hyperpigmentation / Q000209:etiology*; D007022:Hypotension / Q000209:etiology; D008297:Male; D014383:Tuberculosis, Endocrine / Q000175:diagnosis; D014388:Tuberculosis, Lymph Node / Q000150:complications
chemical_list: D006854:Hydrocortisone