Table 1

Features and treatment of Addison's disease

Common symptoms and signs Laboratory features
AnorexiaHyponatraemia
WeaknessHyperkalaemia
FatigueUraemia
Nausea and vomitingMetabolic acidosis
Postural dizzinessHypercalcaemia
Weight lossNormochromic normocytic anaemia
HypotensionEosinophilia
PigmentationLymphocytosis
Emergency treatment Maintenance therapy
Measure plasma cortisolPrimary adrenal failure:
Intravenous hydrocortisone 100 mg with 0.9% saline Hydrocortisone 15–20 mg am, 5–10 mg at
  4 pm or
 Hydrocortisone 15–20 mg am, 5 mg at   noon, 5 mg at 4 pm
and
 Fludrocortisone 0.05–2 mg am
Secondary adrenal failure:
 Hydrocortisone as above