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On clinical examination, he was found to be hyperpigmented; a subsequent random serum cortisol of 49\u2005nmol\/L affirmed the preliminary diagnosis of Addison's disease. The patient's hyperkalaemia improved on treatment with hydrocortisone, and a follow-up morning adrenocorticotropic hormone of 1051\u2005ng\/L confirmed the diagnosis.<\/jats:p>","DOI":"10.1136\/bcr-2015-213375","type":"journal-article","created":{"date-parts":[[2016,5,11]],"date-time":"2016-05-11T05:02:33Z","timestamp":1462942953000},"page":"bcr2015213375","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["First presentation of Addison's disease as hyperkalaemia in acute kidney injury"],"prefix":"10.1136","volume":"2016","author":[{"given":"Sara","family":"Maki","sequence":"first","affiliation":[{"name":"Department of Acute Medicine, Hillingdon Hospital, Uxbridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Kramarz","sequence":"additional","affiliation":[{"name":"Department of Acute Medicine, Hillingdon Hospital, Uxbridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paula","family":"Maria Heister","sequence":"additional","affiliation":[{"name":"Imperial College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kamran","family":"Pasha","sequence":"additional","affiliation":[{"name":"Department of Acute Medicine, Hillingdon Hospital, Uxbridge, UK"},{"name":"Imperial College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,5,11]]},"reference":[{"key":"2025082805235922000_2016.may11_1.bcr2015213375.1","unstructured":"Addison T . 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Clinical evaluation of acute renal failure. In: Johnson RJ , Fehally J, eds . Comprehensive clinical nephrology. 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