A 54-year-old man presents with confusion, vomiting, weight loss, and skin darkening. Explore a classic case of Electrolyte Imbalance and endocrine failure.
A 54-year-old man presented to the emergency department with confusion and vomiting. He also reported an unintentional 10 kg weight loss and progressive darkening of his skin over the past 6 months. Laboratory studies showed a serum glucose of 40 mg per deciliter (reference range, 70 to 110 mg per deciliter), sodium of 108 mmol per liter (reference range, 136 to 145), and a potassium of 6.4 mmol per liter (reference range, 3.5 to 5.1). What is the diagnosis?
What is the most likely diagnosis?
Cortisol, Hyperkalemia, Hyperpigmentation, Hyponatremia, Primary adrenal insufficiency (Addison’s disease)
