Table 3 Signs and symptoms suggestive of adrenal insufficiency

Cardiovascular instability

Discrepancy between disease severity and clinical status of the patient presenting nausea

Orthostatic hypotension

Dehydration

Lower abdominal pain or weight loss

Fever of unknown origin

Apathy, depression not related to psychiatric illness

Altered pigmentation, loss of axillary and pubic hair

Hypothyroidism and hypogonadism

Hypoglycemia, hyponatremia and hyperkalemia

Neutropenia and eosinophilia