Symptoms include:

• weakness
• lethargy
• tiredness
• nausea and vomiting
• arthralgias, myalgias (muscle pains)
• low blood pressure (hypotension) which may cause light-headedness or even fainting when the affected person stands after sitting or lying down.

Typically, a patient who has been taking steroids and has developed this condition will exhibit Cushingoid features (round face, centripetal obesity, striae) while having symptoms of adrenal insufficiency.

Signs may include

• hypotension or orthostasis
• shock

Tests will look for:

• low cortisol level
• low sodium
• hypoglycemia
• depressed response to ACTH