患者女,45岁,因“言语不清伴左侧肢体无力3 d”于2014年3月6日入我院。患者入院3 d前在外院住院期间突发言语不清,构音障碍,左侧肢体乏力,不能行走,左手不能持物。急诊拟“脑梗死”收入院。患者于2014年2月27日“因反复乏力,皮肤色素沉着4年,呼吸困难30 min”就诊于外院。诊断“原发性肾上腺皮质功能减退症 Female patient, 45 years old, because ”unclear speech with left limb weakness 3 d “ on March 6, 2014 into our hospital. Patients admitted to the hospital 3 d before the sudden onset of inpatient speech, dysarthria, left limb weakness, can not walk, the left can not hold things. Emergency to be ”cerebral infarction “ income hospital. Patients on Feb. 27, 2014, ”Visited the Outer Court for Repeated Fatigue, Skin Pigmentation for 4 Years and Dyspnea for 30 Minutes.“ Diagnosis ”Primary adrenocortical hypofunction