The clinical features vary according to aetiology.
In previously untreated patients:
- intensification of pre-existing symptoms, especially nausea, vomiting, epigastric pain
- possibly, fever
- hypovolaemic vascular shock
In patients previously treated with glucocorticoids, hypovolaemic shock is a late finding since mineralocorticoid secretion is usually preserved.
Last reviewed 01/2018