Addison's disease differential diagnosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Differentiating Addison's disease from other Diseases
Addison's disease should be differentiated from the following diseases:
- Acanthosis nigricans
- Anorexia nervosa
- Chronic fatigue syndrome
- Depression
- Disorders of oral pigmentation
- Hyperthyroidism
- Laugier-Hunziker Syndrome
- Lentigo
- Malignant melanoma
- Melasma
- Occult malignancy
- Oral manifestations of systemic diseases
- Peutz-Jeghers syndrome
- Type 1 diabetes mellitus
- Vitiligo
Harmone or pathway defective | |||
---|---|---|---|
ACTH deficiency | ↓ ACTH | Pituitary gland | |
Congenital adrenal hyperplasia (CAH) | ↓ Corticosteroid hormones | Adrenal gland | |
Adrenoleukodystrophy | ABCD1 gene on the X chromosome | White matter of the nervous system and
the adrenal cortex |
|
Autoimmune polyendocrine syndrome type II
( Schmidt syndrome) |
↓Parathyroid harmone
↓Insulin ↓Sex harmones |
parathyroid gland
Pancreas Gonads |
|
Autoimmune polyendocrine syndrome type I, (APS type 1)
( APECED syndrome) |
Autoimmune Polyendocrinopathy (APE), Candidiasis (C) and Ectodermal Dysplasia (ED) | Autoimmune Polyendocrinopathy (APE)
Candidiasis (C) Ectodermal Dysplasia (ED) |
|
Hemachromatosis | |||
Hyperthyroidism |