raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:85138

Addison disease

Synonyms: Autoimmune Addison disease · Autoimmune adrenalitis · Classic Addison disease · Primary Addison disease · Primary adrenal insufficiency

Type
Disease
Group
Disorder
Inheritance
Not applicable
Age of onset
All ages
Status
active

A chronic and rare endocrine disorder due to autoimmune destruction of the adrenal cortex and resulting in a glucocorticoid and mineralocorticoid deficiency. Properly speaking, it designates autoimmune adrenalitis, but it is a term commonly used to describe any form of chronic primary adrenal insufficiency (CPAI).

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAddison diseaseAutoimmune Addison disease · Autoimmune adrenalitis · Classic Addison disease · Primary Addison disease · Primary adrenal insufficiency
frMaladie d'AddisonInsuffisance surrénale primaire · Maladie d'Addison auto-immune · Maladie d'Addison classique · Maladie d'Addison primaire
deAddison-KrankheitAddison-Krankheit, autoimmune · Addison-Krankheit, klassische · Addison-Krankheit, primäre · Adrenalitis, autoimmune · Autoimmune Adrenalitis · Primäre Nebenniereninsuffizienz
esEnfermedad de AddisonEnfermedad de Addison autoinmune · Enfermedad de Addison clásica · Enfermedad de Addison primaria · Insuficiencia suprarrenal primaria · Adrenalitis autoinmune
itMalattia di AddisonInsufficienza surrenalica primaria · Adrenalite autoimmune · Malattia di Addison autoimmune · Malattia di Addison classica · Malattia di Addison primitiva
nlZiekte van AddisonAuto-immune adrenalitis · Auto-immune ziekte van Addison · Klassieke ziekte van Addison · Primaire bijnierschorsinsufficiëntie · Primaire ziekte van Addison
ptDoença AddisonAdrenalite autoimune · Insuficiência suprarrenal primária · Doença Addison autoimune · Doença Addison clássica · Doença Addison primária
plChoroba AddisonaAutoimmunologiczna choroba Addisona · Autoimmunologiczne zapalenie nadnerczy · Klasyczna choroba Addisona · Pierwotna choroba Addisona
csAddisonova chorobaAutoimunitní Addisonova choroba · Autoimunitní adrenalitida · Klasická Addisonova choroba · Primární Addisonova choroba
ukХвороба АддісонаАутоімунна хвороба Аддісона · Аутоімунний адреналіт · Класична хвороба Аддісона · Первинна хвороба Аддісона
zh艾迪生病自身免疫性Addison病
trAddison hastalığıOtoimmün adrenalit · Klasik Addison hastalığı · Primer Addison hastalığı · Otoimmün Addison hastalığı

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM103230BTNTvalidated
OMIM240200Evalidated
ICD-10E27.1NTBTattributedvalidated
ICD-115A74.0Especificvalidated
MONDO0100480Evalidated
MONDO100480Evalidated
MeSHD000224Evalidated
UMLSC0001403Evalidated
GARD5740Evalidated
MedDRA10001130Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

4 records
TypeClassValueAreaQualificationValidationSource
Annual incidence1-5 / 10 00054 / 100 000Specific populationValue and classValidated12788587[PMID]
Point prevalence1-5 / 10 00012.5 / 100 000EuropeValue and classValidated21164269[PMID]_12788587[PMID]_ [EXPERT]
Point prevalence1-5 / 10 00014 / 100 000NorwayValue and classValidated12072049[PMID]
Point prevalence1-9 / 100 0009.3 / 100 000United KingdomValue and classValidated919670[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

62 annotations · validated 2026-01-28
HPOTerm (as annotated by Orphanet)Diagnostic
Obligate (100%)
HP:0008163Decreased circulating cortisol level
HP:0008207Primary adrenal insufficiency
Very frequent (99-80%)
HP:0002027Abdominal pain
HP:0002039Anorexia
HP:0002960Autoimmunity
HP:0002019Constipation
HP:0002014Diarrhea
HP:0001508Failure to thrive
HP:0012378Fatigue
HP:0000953Hyperpigmentation of the skin
HP:0002615Hypotension
HP:0003154Increased circulating ACTH level
HP:0001324Muscle weakness
HP:0002017Nausea and vomiting
HP:0001824Weight loss
Frequent (79-30%)
HP:0100134Abnormality of the axillary hair
HP:0100133Abnormality of the pubic hair
HP:0008226Androgen insufficiency
HP:0034071Anti-21-hydroxylase antibody positivity
HP:0034055Anti-side-chain cleavage enzyme antibody positivity
HP:0034061Anti-steroid 17alpha-hydroxylase antibody positivity
HP:0025406Asthenia
HP:0004319Decreased circulating aldosterone level
HP:0031214Decreased circulating dehydroepiandrosterone concentration
HP:0012364Decreased urinary potassium
HP:0001944Dehydration
HP:0001531Failure to thrive in infancy
HP:0002153Hyperkalemia
HP:0005976Hyperkalemic metabolic acidosis
HP:0002149Hyperuricemia
HP:0002902Hyponatremia
HP:0000848Increased circulating renin level
HP:0033834Malaise
HP:0001897Normocytic anemia
HP:0007505Progressive hyperpigmentation
HP:0000127Renal salt wasting
HP:0001649Tachycardia
Occasional (29-5%)
HP:0010512Adrenal calcification
HP:0000835Adrenal hypoplasia
HP:0001596Alopecia
HP:0002829Arthralgia
HP:0002608Celiac disease
HP:0030018Decreased female libido
HP:0046504Decreased libido
HP:0000823Delayed puberty
HP:0000958Dry skin
HP:0006462Generalized bone demineralization
HP:0000872Hashimoto thyroiditis
HP:0003072Hypercalcemia
HP:0001943Hypoglycemia
HP:0000829Hypoparathyroidism
HP:0001278Orthostatic hypotension
HP:0008209Premature ovarian insufficiency
HP:0030083Salt craving
HP:0001250Seizure
HP:0002215Sparse axillary hair
HP:0100651Type I diabetes mellitus
HP:0002321Vertigo
HP:0001045Vitiligo
Very rare (<4-1%)
HP:0008720Primary testicular failure
HP:0004860Thiamine-responsive megaloblastic anemia
HP:0100522Thymoma

Run the differential on the 12 obligate / very frequent terms

Annotation source: 41587556[PMID]_32063488[PMID]_28723023[PMID]_20400889[PMID]_24695602[PMID]_25295623[PMID]_20399314[PMID]_15654180[PMID]_24613067[PMID]_23697517[PMID]_18000094[PMID]_16968806[PMID]_19574315[PMID]_15950720[PMID]_8614434[PMID]_11443143[PMID]

7

Sources for this card