How should the diagnosis be made when there is an insufficient secretion of glucocorticoids?

Patient's question:

Recently, my aunt felt some discomfort in her kidney area, sometimes experiencing pain. Later, we took her to the hospital for a detailed examination. The doctor said it was caused by insufficient secretion of glucocorticoids. I don't know how the diagnosis was made.

Doctor's answer:

Hello, Diagnosis: The clinical manifestations of chronic adrenal cortical insufficiency are caused by a lack of cortisol and aldosterone. Weakness and fatigue are the main early symptoms, with the degree of fatigue being proportional to the severity of the condition. In severe cases, it can lead to the inability to turn over or reach for objects. Severe muscle spasms, especially in the legs, may also be observed. These muscle disorders may be related to an imbalance of sodium and potassium at the neuromuscular junction.

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