Adrenal insufficiency physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ayeesha Kattubadi, M.B.B.S[2]

Overview

Patients with adrenal insufficiency usually appear dehydrated and weak. Physical examination of patients with primary adrenal insufficiency is usually remarkable for hyperpigmentation of skin.

Physical Examination

Physical examination of patients with primary adrenal insufficiency is usually remarkable for hyperpigmentation of skin. [1]

Appearance of the Patient

Vital Signs

Skin

Following image shows mucosal hyperpigmentation in Addison's disease:

Mucosal hyperpigmentation - By FlatOut - Dermatology Online Journal http://dermatology.cdlib.org/, CC0, https://commons.wikimedia.org/w/index.php?curid=25847348

HEENT

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References

  1. Lee, Ye Yeon; Cho, Nan Hee; Lee, Jong Won; Kim, Nam Kyung; Kim, Hye Soon; Kim, Mi-Kyung (2017). "Clinical Characteristics of Patients with Adrenal Insufficiency in a General Hospital". Endocrinology and Metabolism. 32 (1): 83. doi:10.3803/EnM.2017.32.1.83. ISSN 2093-596X.
  2. "StatPearls". 2020. PMID 28722862.
  3. Pazderska, Agnieszka; Pearce, Simon HS (2017). "Adrenal insufficiency – recognition and management". Clinical Medicine. 17 (3): 258–262. doi:10.7861/clinmedicine.17-3-258. ISSN 1470-2118.
  4. Lause M, Kamboj A, Fernandez Faith E (2017). "Dermatologic manifestations of endocrine disorders". Transl Pediatr. 6 (4): 300–312. doi:10.21037/tp.2017.09.08. PMC 5682371. PMID 29184811.
  5. Sarkar, SoumyaBrata; Sarkar, Subrata; Ghosh, Supratim; Bandyopadhyay, Subhankar (2012). "Addison′s disease". Contemporary Clinical Dentistry. 3 (4): 484. doi:10.4103/0976-237X.107450. ISSN 0976-237X.
  6. https://www.amjmed.com/article/S0002-9343(15)00827-X/pdf
  7. https://www.amjmed.com/article/S0002-9343(15)00827-X/pdf

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