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Adrenal atrophy physical examination

Introduction

Overview

Overview

In the physical examination the patients may have hypotension, hyperpigmentation, depigmentation in autoimmune cases.

Physical examination

Physical examination

In the physical examination the patients may have:

  • Hypotension, mainly with postural dizziness or syncope.
  • Hyperpigmentation, which is evident in nearly all patients with primary adrenal insufficiency, is the most characteristic physical finding.
  • Patchy, often bilaterally symmetrical areas of depigmented skin (vitiligo), the result of autoimmune destruction of dermal melanocytes, occur on the trunk or extremities in 10 to 20 percent of patients with autoimmune but not those with other causes of adrenal atrophy.[1]
References

References

  1. โ†‘ Husebye ES, Perheentupa J, Rautemaa R, Kรคmpe O (May 2009). “Clinical manifestations and management of patients with autoimmune polyendocrine syndrome type I”. J Intern Med. 265 (5): 514โ€“29. doi:10.1111/j.1365-2796.2009.02090.x. PMIDย 19382991.

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