Acute adrenal crisis (ACH) is a medical emergency caused by acute corticoid deficiency (Cortisol, Aldosterone). Diagnosis is often difficult due to nonspecific clinical and biological symptoms. Diagnosis will be more favorable if it is considered, this is one of the causes of death, the disease is often missed with the diagnosis of cardiovascular collapse of unknown cause. Therefore, it needs to be treated promptly, on the spot even when there is no definite diagnosis, only a few suspicious symptoms.