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Primary adrenal insufficiency — PARA MCQ

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HardGeneral Medicine - EndocrinologyPrimary adrenal insufficiencyPARA

A 44-year-old woman has fatigue, dizziness, weight loss and hyperpigmentation. Sodium is 126 mmol/L, potassium is 5.9 mmol/L and 9 am cortisol is low. What is the most likely cause?

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Correct answer: APrimary adrenal insufficiency

Weight loss, hyperpigmentation, hyponatraemia, hyperkalaemia and low cortisol suggest primary adrenal insufficiency.

Reference: NICE CKS: Addison disease; Society for Endocrinology emergency guidance