Department of Acute Medicine, The James Cook University Hospital, Middlesbrough.
Clin Med (Lond). 2012 Feb;12(1):89-90. doi: 10.7861/clinmedicine.12-1-89.
Addison's disease can present insidiously. A 78-year-old woman presented with non-specific symptoms and hyponatremia, with a previous history of polymyalgia rheumatica treated with glucocorticoids. Subsequent investigations were consistent with primary rather than secondary adrenal failure. Primary autoimmune Addison's disease can present with protean symptoms and diagnosis is often delayed. A high index of suspicion remains the cornerstone of diagnosis.
艾迪生病可能隐匿起病。一位 78 岁女性以非特异性症状和低钠血症就诊，此前曾患有巨细胞动脉炎，接受过糖皮质激素治疗。后续检查结果与原发性而非继发性肾上腺功能衰竭一致。原发性自身免疫性艾迪生病可能表现出多种症状，且诊断常常被延误。保持高度怀疑是诊断的基石。
