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Review Case Reports
Cutaneous hyperpigmentation and polyglandular autoimmune syndrome type II.
- A D Chung and J C English.
- Department of Medicine, Darnall Army Community Hospital, Fort Hood, Texas, USA.
- Cutis. 1997 Feb 1; 59 (2): 77-80.
AbstractPrimary adrenal insufficiency (Addison's disease) may initially present with cutaneous hyperpigmentation. Addison's disease, when associated with autoimmune thyroid disease and/or insulin-dependent diabetes mellitus, is referred to as polyglandular autoimmune syndrome type II. We present the case of a patient who initially was diagnosed as having Grave's disease and eventually Addison's disease due to persistent cutaneous hyperpigmentation, fatigue, weight loss, hypotension, hyponatremia, peripheral eosinophilia, and positive results of a synthetic corticotropin stimulation test. Addison's disease, polyglandular autoimmune syndrome type II, and cutaneous hyperpigmentation are reviewed.
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