Abstract
Adrenal insufficiency may present acutely as adrenal crisis or with chronic nonspecific symptoms, which requires a great deal of clinical suspicion. Adrenal insufficiency may also manifest with psychiatric manifestations, which makes its diagnosis even more challenging. The neuropsychiatric aspect of this condition is not fully understood. Patients with psychiatric symptoms are usually screened for other organic causes and are labeled as having mental disturbance. Neuropsychiatric symptoms could be the first presentation of Addison’s disease. We present a 38 year old female who initially presented with vomiting and altered behavior, subsequently diagnosed to have hypopituitarism.
Keywords: Addison’s disease, Hypopituitarism, Neuropsychiatric manifestations,
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Corresponding Author
Dr K. Vengadakrishnan
Sri Ramachandra Medical College, Porur, Chennai
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