'Great tan but I feel awful'. Diagnosis: Autoimmune primary hypoadrenalism.
'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.
Phillips
Patrick J
PJ
Department of Endocrinology, The Queen Elizabeth Hospital, South Australia. patrick.phillips@nwahs.sa.gov.au
Weightman
Warren
W
D000224:Addison Disease / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D000328:Adult; D006801:Humans; D008297:Male