Circulatory collapse requiring mechanical circulatory support in a child with autoimmune adrenal insufficiency: a case report

In brief

A 7-year-old with undiagnosed autoimmune adrenal insufficiency presented in severe cardiogenic shock requiring ECMO support. Characteristic skin hyperpigmentation on exam prompted stress-dose corticosteroid therapy, leading to successful recovery. This case highlights the importance of recognizing physical exam findings of primary adrenal insufficiency even in critically ill children.

Written by the GCMD Library team from the article.