RT Book, Section A1 Appachi, Swathi A1 Appachi, Elumalai A2 Usatine, Richard P. A2 Sabella, Camille A2 Smith, Mindy Ann A2 Mayeaux, E.J. A2 Chumley, Heidi S. A2 Appachi, Elumalai SR Print(0) ID 1114879427 T1 Addison’s Disease T2 The Color Atlas of Pediatrics YR 2015 FD 2015 PB McGraw-Hill Education PP New York, NY SN 978-0-07-176701-9 LK accesspediatrics.mhmedical.com/content.aspx?aid=1114879427 RD 2024/10/07 AB A 14-year-old girl with a history of type I diabetes mellitus is brought to her pediatrician because of a 2-month history of fatigue, dizziness, and nausea. On physical exam, she is found to have orthostatic hypotension and the pediatrician notes that she has hyperpigmentation of dorsum of her hands and over her knees (Figures 196-1 and 196-2). The pediatrician is concerned about adrenal insufficiency and promptly refers the girl to an endocrinologist. The girl is found to have a low early morning serum cortisol, high serum adrenocorticotropin hormone level, and anti-adrenal antibodies, confirming the diagnosis of primary adrenal insufficiency.