关键词: 误诊, 内分泌疾病, 糖尿病酮症酸中毒, 甲状腺功能减退症, 肾上腺皮质功能减退症

Abstract: Endocrine disorders often involve dysfunction of multiple systemic organs. The initial visits of patients can be distributed in different departments of the hospital because of the nonspecific clinical manifestation. So it is very hard to make diagnosis and misdiagnosis is likely to occur. However，some endocrine disorders are traceable，such as diabetes ketoacidosis，hypothyroidism and adrenal insufficiency，and misdiagnosis can be reduced and avoided by more learning，investigation，experience accumulation on daily work. Thorough inquiry of the case medical history，careful physical examination，and combination with laboratory and imaging results can help to decrease the misdiagnosis rate.

Key words: misdiagnosis；endocrine disorders；diabetes , ketoacidosis；hypothyroidism；adrenal insufficiency