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Case Reports in Endocrinology
Volume 2017, Article ID 4096021, 3 pages
https://doi.org/10.1155/2017/4096021
Case Report

Addison’s Disease and Possible Cannabis Withdrawal Syndrome Presenting as an Eating Disorder in a Thirty-Year-Old Female

Department of Family and Community Medicine, North York General Hospital, University of Toronto, Toronto, ON, Canada

Correspondence should be addressed to Kimberly Lazare; moc.liamg@68erazalk

Received 7 November 2016; Accepted 29 January 2017; Published 1 March 2017

Academic Editor: Najmul Islam

Copyright © 2017 Kimberly Lazare. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 30-year-old female with a history of anxiety, cannabis use, and Avoidant/Restrictive Food Intake Disorder presented for residential treatment of a Cannabis Use Disorder. Upon arrival, she had not eaten for two days and was found to be hypotensive with electrolyte disturbances. She was admitted to a nearby hospital, where the Internist diagnosed her with Addison’s disease. She was treated with corticosteroid therapy, with rapid normalization of her electrolytes, eating, and anxiety. This is the first published case of undiagnosed Addison’s disease presenting as an eating disorder, with cannabis use likely contributing to symptoms. This case elucidates the importance of ruling out other biologic and psychologic causes of clinical presentations before an eating disorder diagnosis can be made.