IT IS KNOWN that nervousness and mental symptoms may dominate the clinical picture in a patient with Addison's disease.1 As the disease progresses, the patient often demonstrates nervous irritability, insomnia, and inability to concentrate. However, these symptoms readily disappear with adequate substitution hormonal therapy. We have been unable to find a description of a patient having Addison's disease with psychosis who received electroconvulsive therapy. The signs and symptoms of adrenal crisis have been known to develop in the course of a few hours following physical or psychic trauma or any type of severe stress. The following is a case report which should be of considerable interest to the clinician who is faced with the problem of treating an alarming psychotic episode in a patient with Addison's disease.
REPORT OF A CASE
A 56-year-old white male veteran entered the Veterans Administration Hospital, Jefferson Barracks, Mo., on June 22, 1951, complaining