This table lists symptoms that people with this disease may have. For most diseases, symptoms will vary from person to person. People with the same disease may not have all the symptoms listed. This information comes from a database called the Human Phenotype Ontology (HPO) . The HPO collects information on symptoms that have been described in medical resources. The HPO is updated regularly. Use the HPO ID to access more in-depth information about a symptom.
|Medical Terms||Other Names||
|100% of people have these symptoms|
|Decreased circulating cortisol level||
Low blood cortisol level
|80%-99% of people have these symptoms|
Pain in stomach
Stomach pain[ more ]
|Failure to thrive||
Weight faltering[ more ]
Tiredness[ more ]
|Hyperpigmentation of the skin||
Patchy darkened skin
|Increased circulating ACTH level||
High blood corticotropin levels
|Nausea and vomiting||0002017|
|30%-79% of people have these symptoms|
|Decreased circulating aldosterone level||
Low blood aldosterone level
|Decreased urinary potassium||0012364|
Elevated serum potassium levels
|Hyperkalemic metabolic acidosis||0005976|
High blood uric acid level
Low blood sodium levels
|Increased circulating renin level||
Elevated blood renin level
|Renal salt wasting||
Loss of salt in urine
|5%-29% of people have these symptoms|
Small adrenal glands
|Decreased female libido||
Decreased female sex drive
Delayed pubertal development
Delayed pubertal growth
Pubertal delay[ more ]
|Generalized bone demineralization||0006462|
High blood calcium levels
Increased calcium in blood[ more ]
Low blood sugar
Decreased parathyroid hormone secretion
Decrease in blood pressure upon standing up
|Premature ovarian insufficiency||
Premature ovarian failure[ more ]
|Sparse axillary hair||
Limited armpit hair
Little underarm hair[ more ]
Type 1 diabetes
Type I diabetes[ more ]
Blotchy loss of skin color
|1%-4% of people have these symptoms|
|Primary testicular failure||0008720|
|Thiamine-responsive megaloblastic anemia||0004860|
|Percent of people who have these symptoms is not available through HPO|
|Abnormality of skin pigmentation||
Abnormal skin color
Abnormal skin pigmentation
Abnormality of pigmentation
Pigmentary skin changes
Pigmentation anomaly[ more ]
|Abnormality of the cardiovascular system||
Blue discoloration of the skin
|Feeding difficulties in infancy||0008872|
If you need medical advice, you can look for doctors or other healthcare professionals who have experience with this disease. You may find these specialists through advocacy organizations, clinical trials, or articles published in medical journals. You may also want to contact a university or tertiary medical center in your area, because these centers tend to see more complex cases and have the latest technology and treatments.
If you can’t find a specialist in your local area, try contacting national or international specialists. They may be able to refer you to someone they know through conferences or research efforts. Some specialists may be willing to consult with you or your local doctors over the phone or by email if you can't travel to them for care.
You can find more tips in our guide, How to Find a Disease Specialist. We also encourage you to explore the rest of this page to find resources that can help you find specialists.
Related diseases are conditions that have similar signs and symptoms. A health care provider may consider these conditions in the table below when making a diagnosis. Please note that the table may not include all the possible conditions related to this disease.
Conditions with similar signs and symptoms from Orphanet
Secondary adrenal insufficiency needs to be eliminated. Causes include pituitary tumors, lymphatic hypophystitis, pituitary tuberculosis and sarcoidosis, all of which are differential diagnoses. Infiltrative disorders and other causes of CPAI should be excluded and include tuberculosis (see this term), fungal infections and AIDS-associated opportunistic infections. Genetic disorders, tumors, and treatment with certain drugs are other less common causes of CPAI.
Visit the Orphanet disease page for more information.
Research helps us better understand diseases and can lead to advances in diagnosis and treatment. This section provides resources to help you learn about medical research and ways to get involved.
Support and advocacy groups can help you connect with other patients and families, and they can provide valuable services. Many develop patient-centered information and are the driving force behind research for better treatments and possible cures. They can direct you to research, resources, and services. Many organizations also have experts who serve as medical advisors or provide lists of doctors/clinics. Visit the group’s website or contact them to learn about the services they offer. Inclusion on this list is not an endorsement by GARD.
Living with a genetic or rare disease can impact the daily lives of patients and families. These resources can help families navigate various aspects of living with a rare disease.
These resources provide more information about this condition or associated symptoms. The in-depth resources contain medical and scientific language that may be hard to understand. You may want to review these resources with a medical professional.
Questions sent to GARD may be posted here if the information could be helpful to others. We remove all identifying information when posting a question to protect your privacy. If you do not want your question posted, please let us know.