Year: 2026
Type: article
Study design: Case Report
Abstract: Primary adrenal insufficiency is a rare disease characterized by deficient production of glucocorticoids with or without a deficiency of mineralocorticoids and adrenal androgens.1 This disease can present as a range of symptoms provoking a visit to the emergency department (ED). In this case, we present a 40-year-old female who reported tongue and gingival discoloration, unintentional weight loss, and skin hyperpigmentation. The patient was evaluated by an endocrinologist in the ED, received a dose of steroids in the ED, and discharged home with a prescription for steroids. This case report illustrates the distinctive tongue discoloration seen in primary adrenal insufficiency, highlighting the need for early recognition in the emergency setting to enable prompt and appropriate management. Topics: Endocrine, Addison's disease, primary adrenal insufficiency, black tongue, steroids, skin hyperpigmentation.
DOI: 10.5070/m5.52329
Authors: Kyrillos Girgis, Cory Toomasian, Timothy Young
Institution: Loma Linda University
Language: English
Subfield: Endocrinology, Diabetes and Metabolism
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $150
OpenAlex ID: W7160424209
FWCI:
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