Case Report: Addison s disease may present to a dermatologist as melasma

Addison s disease is not a very common medical illness that can present to a dermatologist in different ways. It can start as an obvious pigmentary disorder or it may never involve skin. We present a case of a young male who reported to dermatology outdoor with a typical melasma-like eruption over his face. Shortly after this pigmentation, he started having generalized weakness, repeated vomiting and weight loss. He was evaluated by physician and turned out to be a case of Addison s disease with melasma-like pigmentation. He was then managed accordingly.