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A 40 year old korean male with Addison´s disease without other endocrine disorder is presented with a brief review of the literature. the patient was admitted to our hospital on the 30 h day of Oct, 1970, because of insomnia, anorexia, general weakness and weight loss. On physical examination he was moderately developed moderately nourished and asthe ds Body weight was 62 kg, B. -P-90/60, pulse-80/min, body temp. was 37..5´C.´ Skin and mucous membrane -were diffusely darkish brown especially over the face, gingiva, both wrist, elbow and knee. (Fig, 1,2) The heart sounds were weak and the Anus was prolapsed. Lab, findings.-disclosed low serum sodium and Na-K Ratio and low 24hr urinary 17-Ketosteroid and 17-ketogenic steroid. ACTH-stimulation test revealed a mild increment of 17-ketosteroid- but 17-Ketogenic steroid. Urinary Sodium loss was continued despite low serum sodium and not alterated by ACTH-gel injection. T4 I assay and Fasting blood sugar level were within normal 1imit, the chest P.A, film showed numberous old calcified lesion on Rt L. L.
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