Epistemis

Weakness with hyperpigmentation

Specialty: Endocrine and metabolic.

  • dark skin and tiredness

Why it occurs

  • [object Object]
  • Hemochromatosis

Initial workup

Ionogram (low Na, high K), morning cortisol and ACTH; Synacthen test.

red flags

Hypotension, vomiting and confusion → addisonian crisis (vital emergency).

Standard management

  • Hydrocortisone — if confirmed/urgent adrenal insufficiency

Educational guidance for study. It is NOT a prescription recommendation. The actual choice depends on the cause, the patient, and current guidelines.

PreviousAcral growth
Area
Endocrine and metabolic
Listed causes
2
Treatment options
1
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