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 2024/04/24
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.