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Living with Autoimmune primary adrenal insufficiency

A condition (Addison's disease) in which the adrenal glands do not make enough of the hormones cortisol and aldosterone.

Understanding Autoimmune primary adrenal insufficiency

Autoimmune primary adrenal insufficiency, also called Addison's disease, is a condition in which the adrenal glands do not make enough cortisol and aldosterone.

These hormones help balance water and energy in the body. Symptoms usually come on slowly. Sometimes they come on suddenly, causing an acute adrenal crisis with sudden weakness, pain, and fainting. The most common cause is an abnormal immune response. It can begin at any time in life.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Fatigue and weakness
  • Loss of appetite and weight loss
  • Belly pain
  • Dark patches of skin
  • Low blood pressure
  • Dehydration

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include hormone specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Autoimmune Association, National Adrenal Diseases Foundation and Pituitary Network Association may keep lists of experts for this condition.

Care & treatment

Care team
Hormone specialists (endocrinologists)
Expert care
Expert lists: Autoimmune Association, National Adrenal Diseases Foundation, Pituitary Network Association
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Autoimmune Association and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which blood and imaging tests confirm adrenal function?
What are the signs of an adrenal crisis and what should I do?
How should my hormone replacement be adjusted when I'm ill?

Quick facts

Symptoms usually startany time in life

GARD says the most common cause is an abnormal response of the immune system. Injury to the adrenal gland can also cause it.

Endocrine

Also known as: addison disease due to autoimmunity; addison's disease due to autoimmunity; autoimmune addison disease; autoimmune addison's disease; autoimmune adrenal atrophy; autoimmune adrenalitis

Patient organizations

Source: NIH GARD · Autoimmune primary adrenal insufficiencyGARD ID 5740 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Autoimmune primary adrenal insufficiency.

Explore the Autoimmune primary adrenal insufficiency blog

Explore research for Autoimmune primary adrenal insufficiency

Explore actively recruiting Autoimmune primary adrenal insufficiency studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Autoimmune primary adrenal insufficiency with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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