Abstract
APS II is a polygenic disorder in which two or more of following disorders may be present: autoimmune thyroid disease, Addison's disease, T1DM, primary hypogonadism, myasthenia gravis and celiac disease. ACTH stimulation test confirmed primary adrenal insufficiency with 30min and 60min cortisol levels to be 8.6 ug/dl and 7.1 ug/ dl respectively. Conclusion: This case report highlights the importance of thorough physical examination and physical finding of hyperpigmentation in patients with Addison's disease.