title: Systemic lupus erythematosus presenting as acute adrenal insufficiency: a rare clinical presentation.
abstract: Systemic lupus erythematosus is a complex autoimmune disease with multisystem involvement with varied presentation. Autoimmune adrenal disease, on the other hand, can be associated with other autoimmune diseases. Adrenal insufficiency as a presenting feature of Systemic lupus erythematosus is a rare occurrence. We hereby report a case of a 20 year-old female who presented to us in an acute hypoadrenal state and was found to have Systemic lupus erythematosus with renal involvement. Patient was successfully managed with steroids and improved clinically.
authors.affiliation: Department of General Medicine, Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar, Kashmir, India.
authors.forename: Ra
authors.initials: R
authors.lastname: Bhat
authors.affiliation: Department of General Medicine, Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar, Kashmir, India.
authors.forename: I
authors.initials: I
authors.lastname: Khan
authors.affiliation: Department of General Medicine, Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar, Kashmir, India.
authors.forename: T
authors.initials: T
authors.lastname: Mir
authors.affiliation: Department of Pathology, Govt Medical College, Jammu, India.
authors.forename: I
authors.initials: I
authors.lastname: Khan
authors.affiliation: Department of Nephrology, Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar, Kashmir, India.
authors.forename: M
authors.initials: M
authors.lastname: Wani
keywords: Addison's disease; Autoimmune diseases; Systemic lupus erythematosus