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Living with Primary adrenocortical insufficiency

A condition, also called Addison disease, in which the adrenal glands do not make enough hormones for stress, blood pressure, and salt and water balance.

Understanding Primary adrenocortical insufficiency

Primary adrenocortical insufficiency, also called Addison disease, happens when the adrenal glands do not make enough of certain hormones.

The adrenal glands sit just above the kidneys. The hormones they make help the body respond to stress and regulate blood pressure and water and salt balance. A problem with the immune system usually causes it, when the body mistakenly attacks its own tissues. Infections and cancer are other causes. Lab tests can confirm it.

Signs & symptoms

Symptoms vary from person to person. GARD lists these:

  • Weight loss
  • Muscle weakness
  • Fatigue that gets worse over time
  • Low blood pressure
  • Patchy or dark skin

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

    Raymond A. Wood Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Hormone specialists (endocrinologists)
Expert care
Expert lists: Raymond A. Wood Foundation
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 Raymond A. Wood Foundation
  • 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 tests confirm Addison disease and its cause?
What medicine plan and emergency plan do I need?
What should I carry or share with others about my condition?

Quick facts

Symptoms usually startany time in life

GARD says an immune system problem usually causes it, as the immune system mistakenly attacks and damages the adrenal glands. Infections and cancer can also cause it.

Endocrine

Also known as: chronic adrenocorticoid insufficiency; chronic primary adrenal insufficiency; cpai; hypoadrenocorticism familial; hypoadrenocorticism, familial; primary adrenal insufficiency, chronic

Patient organizations

Source: NIH GARD · Primary adrenocortical insufficiencyGARD ID 19803 · 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 Primary adrenocortical insufficiency.

Explore the Primary adrenocortical insufficiency blog

Explore research for Primary adrenocortical insufficiency

Explore actively recruiting Primary adrenocortical insufficiency studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Primary adrenocortical insufficiency with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • 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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