title: Darkened skin, vomiting, and salt cravings in a teenager · Dx?
abstract: Acute adrenal insufficiency crisis usually occurs after a prolonged period of nonspecific complaints due to a loss of both glucocorticoids and mineralocorticoids; by the time overt symptoms occur, 90% of the adrenal gland may be destroyed. Patients (such as ours) may present with symptoms such as abdominal pain, weakness, vomiting, fever, and decreased responsiveness.
authors.affiliation: Phoenix Children's Hospital, AZ; Maricopa Medical Center, Phoenix, AZ, USA.
authors.forename: Tsan
authors.initials: T
authors.lastname: Lee
authors.affiliation: Phoenix Children's Hospital, AZ, USA. Email: ckapadia@phoenixchildrens.com.
authors.forename: Chirag
authors.initials: C
authors.lastname: Kapadia
mesh_terms: D000224:Addison Disease / Q000175:diagnosis* / Q000188:drug therapy*; D000293:Adolescent; D066249:Craving; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008297:Male; D012982:Sodium, Dietary; D014839:Vomiting / Q000209:etiology
chemical_list: D005938:Glucocorticoids; D012982:Sodium, Dietary