adisson's disease

Patient

Q: Hi,,,
please i want to ask about adisson's disease ,my history as a following:

i am 30 years old when i was 17 i noticed that my skin is hyperpigmented in my back ,buttoks,abdomen ,armpits, vagina and have dark irregular patches at my shoulder, along all my left arm and asmall one on my face .
always, i feel i am tired exhausted and lazy , i dont have good appetite but i am not a thin i gained weight during pregnancy .
i suspect having adisson disease and did these blood tests;
cortisol am was 6.180 ug/dl ref range (6.200-19.400)according to my lab results
ACTH AM 10.6 pg/ml ref range( 7.7-63.3)
insulin fasting 8.1 uIU/ml ref range (2.0-25.0)
serum NA 121 mmol/L ref range(133-146)
serum K 3.95 mmol/L ref range (3.40-5.50)

according to these lab results do i have adisson disease or at least suspect it ?

N.B. I did cortisol AM but after one hour sleep cause i have sleep disturbances due to my baby .. is cortisol level right or must to have a reular sleep rhythm ?
and what about my NA level is it too low ? if i dont have adisson why NA is reduced ?
finally ,
THANKS ALOT

Symptoms:  i am 30 years old when i was 17 i noticed that my skin is hyperpigmented in my back ,buttoks,abdomen ,armpits, vagina and have dark irregular patches at my shoulder, along all my left arm and asmall one on my face .
always, i feel i am tired exhausted and lazy , i dont have good appetite but i am not a thin i gained weight during pregnancy .
Doctor

A:   Thank you for your question. Based on the laboratory results you have supplied are normal based on our interpretation. Although you describe symptoms of having Addison's you need to be thoroughly evaluated by an endocrinologist in order to be conclude that you have this disease.

Thank you for choosing askthedoctor.com

Comments / Follow Ups

Patient: Thanks for replying
but why Na level decreased? or it is in normal level?

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