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Hyperpigmentation & adrenal deficiency

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I believe one of the classic signs of adrenal insufficiency is supposed to

be hyperpigmentation. I've had a doctor say I didn't have adrenal

insufficiency because I didn't have hyperpigmentaion. Has anyone here with

adrenal insufficiency ever had hyperpigmentation or know if it's a relevant

sign?

In this article which Cindi posted,

http://www.saitama-med.ac.jp/jsms/vol31/02/jsms31_115_120.pdf, the authors

specifically state that the patients under discussion did not have

hyperpigmentation, even though they were eventually diagnosed as

hypocortisol. Maybe hyperpigmentation occurs only after total adrenal

failure?

Lynn

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