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<article xmlns:xlink="http://www.w3.org/1999/xlink" article-type="Case Report">
  <front>
    <journal-meta id="journal-meta-03935e6ccb794556ae6ed38b642bc8f1">
      <journal-id journal-id-type="nlm-ta">Prathima Institute of Medical Sciences</journal-id>
      <journal-id journal-id-type="publisher-id">Prathima Institute of Medical Sciences</journal-id>
      <journal-id journal-id-type="journal_submission_guidelines">https://www.pimr.org.in/instructions.php</journal-id>
      <journal-title-group>
        <journal-title>Perspectives in Medical Research</journal-title>
      </journal-title-group>
      <issn publication-format="electronic">2348-229X</issn>
      <issn publication-format="print">2348-1447</issn>
    </journal-meta>
    <article-meta id="article-meta-2f26e8e9f5ca4f0a8da8e30f84563bde">
      <article-id pub-id-type="doi">10.47799/pimr.1201.12</article-id>
      <article-categories>
        <subj-group>
          <subject>Case Report</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title id="article-title-b45cafab43044a85878519fc7808cbb2">
          <bold id="strong-a906fb7e0c314781be19a32fd0e95ba3">Case report of Primary Adrenal Insufficiency</bold>
        </article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author" corresp="yes">
          <name id="name-756cedf0003546bf9717f27803853e8b">
            <surname>Reddy</surname>
            <given-names>E Sandeep</given-names>
          </name>
          <email>sandeepreddyerri974@gmail.com</email>
          <xref id="xref-6ac26a72d2e04a4f9508281dbfac47b5" rid="aff-9c96c33877ff42cf9f5887e6d4268c94" ref-type="aff">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <name id="name-542b5bb65a814430868cfd2440e609c1">
            <surname>Chaitanya</surname>
            <given-names>Konda</given-names>
          </name>
          <xref id="x-392a95b86256" rid="a-2d0c383f191e" ref-type="aff">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <name id="name-4adb3528e0f9444d99ea3639521cec31">
            <surname>Shailaja</surname>
            <given-names>Sesha</given-names>
          </name>
          <xref id="x-cc2811028df9" rid="a-962aecab3fdf" ref-type="aff">3</xref>
        </contrib>
        <aff id="aff-9c96c33877ff42cf9f5887e6d4268c94">
          <institution>Junior Resident, Department of Internal Medicine, Prathima Institute of Medical Sciences, Karimnagar, Telangana</institution>
        </aff>
        <aff id="a-2d0c383f191e">
          <institution>DM Endocrinology, Consultant Endocrinologist, Prathima Institute of Medical Sciences, Karimnagar, Telangana</institution>
        </aff>
        <aff id="a-962aecab3fdf">
          <institution>Senior Consultant Physician, Sai Sharanya Hospital, Former Assistant Professor of Medicine, CAIMS, Karimnagar</institution>
        </aff>
      </contrib-group>
      <pub-date date-type="pub">
        <day>30</day>
        <month>4</month>
        <year>2024</year>
      </pub-date>
      <volume>12</volume>
      <issue>1</issue>
      <fpage>54</fpage>
      <lpage>56</lpage>
      <history>
        <date date-type="received">
          <day>2</day>
          <month>4</month>
          <year>2024</year>
        </date>
        <date date-type="accepted">
          <day>18</day>
          <month>4</month>
          <year>2024</year>
        </date>
        <date date-type="rev-recd">
          <day>10</day>
          <month>4</month>
          <year>2024</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>©2023 (E Sandeep Reddy) et al. This is an open-access journal, and articles are distributed under the terms of the Creative Commons Attribution License CC-BY 4.0. (https://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original authors and source are credited.</copyright-statement>
        <copyright-year>2024</copyright-year>
      </permissions>
      <abstract id="abstract-abstract-title-e5a2628bdf8b4c5d859d876bd2615131">
        <title id="abstract-title-e5a2628bdf8b4c5d859d876bd2615131">Abstract</title>
        <p id="paragraph-91ed1129e2ef4cc3aa8c011e8af4a5b8">Addison's disease, also known as primary adrenal insufficiency (PAI), is a rare endocrine disorder characterized by a decrease in all three adrenal hormones. This case report describes a 32-year-old female who presented with generalized weakness, fatigue, weight loss, and hyperpigmentation. Based on her symptoms and laboratory findings, a diagnosis of Addison's disease was made. She was started on hormone replacement therapy, and her symptoms improved significantly.</p>
      </abstract>
      <kwd-group id="kwd-group-3a173618bb7c48b38ace8853d0faff9b">
        <title>Keywords</title>
        <kwd>Addison's Disease</kwd>
        <kwd>Hormone Replacement Therapy</kwd>
        <kwd>Hyperpigmentation</kwd>
        <kwd>Generalized Weakness</kwd>
        <kwd>Cortisols</kwd>
      </kwd-group>
      <funding-group>
        <funding-statement>None</funding-statement>
      </funding-group>
    </article-meta>
  </front>
</article>
