CLINICAL MANIFESTATIONS 

OF ADRENAL INSUFFICIENCY. 


Primary and secondary adrenal insufficiency:
 - Tiredness, weakness, mental depression 
 - Anorexia, weight loss 
 - Dizziness, orthostatic hypotension 
 - Nausea, vomiting, diarrhea 
 - Hyponatremia, hypoglycemia, mild normocytic anemia, lymphocytosis, eosinophilia 


Primary adrenal insufficiency and associated disorders: 
 - Hyperpigmentation 
 - Hyperkalemia 
 - Vitiligo 
 - Autoimmune thyroid disease 
 - Central nervous system symptoms in adrenomyeloneuropathy 


Secondary adrenal insufficiency and associated disorders: 
 - Pale skin without marked anemia 
 - Amenorrhea, decreased libido and potency 
 - Scanty axillary and pubic hair 
 - Small testicles 
 - Secondary hypothyroidism 
 - Prepubertal growth deficit, delayed puberty 
 - Headache, visual symptoms 
 - Diabetes insipidus 


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