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Addison's disease, also named primary adrenal insufficiency, rare on children, can occur in both acute and chronic form. Acute adrenocortical insufficiency, also called adrenal or addisonian crisis, is severe and life-threatening. Except for this situation, the diagnosis may be delayed. Omission or delay of diagnosis occurs most frequently because of the misleading clinical picture, as the main symptoms (fatigue, anorexia and weight loss) are nonspecific, and can be found also in other disorders. Once suspected, it must be confirmed or disproven by dosing cortisol and ACTH hormones. We present the case of a girl who was diagnosed only when the adrenal crisis occurred. [ABSTRACT FROM AUTHOR]

Communication is a vital skill in the medical world and it differs from the communication in any other areas due to the particular problems that are exposed and their intimate nature. The talent to speak effectively with the patient constitutes a basic element in achieving a safe and successful medical act. The art of conversation in the relationship between the doctor and his patient must be learned and mastered with craftsmanship especially when the patients are children. Because communication is the most common “medical procedure”, it is important for the physician to have the ability to communicate openly, to show tolerance and compassion for the patient, in order to carry out an effective daily medical activity. Diagnostic errors in pediatrics represent a branch which is less explored and accepted. Mistakes are not easy to accept by anyone, and doctors make no exception. In order to carry out his activity in optimum conditions, a doctor must be versed not only in pediatrics pathology, but also in child psychology. [ABSTRACT FROM AUTHOR]