“…Symptoms of adrenal insufficiency include fever, malaise, orthostatic hypotension, nausea, vomiting, hyperkalemia, hyponatremia, eosinophilia, hyperpigmentation, and night sweats and must be recognized and addressed immediately with glucocorticoid and mineralocorticoid therapy to prevent severe, life-threatening complications [7], [11], [12], [13]. However, this syndrome is uncommon [4], [14], [15]. This is due to the fact that disseminated disease usually causes patients to seek medical attention much earlier than the time needed for the 90% destruction of both adrenal glands necessary for the manifestation of clinical adrenal insufficiency [16].…”