Addison's disease physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Physical Examination

The patient may be dehydrated and lethargic.

Pigmented skin and mucous membranes - darkening (hyperpigmentation) of the skin, including areas not exposed to the sun; characteristic sites are skin creases (e.g. of the hands), nipples, and the inside of the cheek (buccal mucosa), also old scars may darken.
Vitiligo may be present.
Absence of axillary and pubic hair in females as a result of loss of adrenal androgens.
Pallor may be present.