Last Updated: 2013-04-09
Presentation may be acute or insidious, with substantial fatigue and weakness associated with mucocutaneous hyperpigmentation, hypotension and/or postural hypotension, and salt craving.
ACTH stimulation test is performed to confirm or exclude the diagnosis of Addison disease.
All patients receive mineralocorticoid and glucocorticoid replacement for life, and are instructed to increase the dose of glucocorticoid during surgery and during any stressful or infectious conditions.
Treatment complications arise from over-replacement of mineralocorticoid and/or glucocorticoid.
Area of buccal hyperpigmentation where teeth pinch mucous membrane while chewing
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