Primary adrenal insufficiency presenting with fatigue and constitutional symptoms
A 42-year-old with Hashimoto's and vitiligo presenting with nine months of progressive fatigue, night sweats, and weight loss attributed to perimenopause. Structured interview surfaced skin darkening, orthostatic symptoms, and a weight-loss pattern — findings not volunteered by the patient. Primary adrenal insufficiency identified as the leading diagnosis; confirmed by physicians.
Synthetic patientPrimary careDifferential diagnosis