Abstract
Objective: Evaluating a case of Secondary Adrenal Insufficiency (SAI) associated with a Psamomatous Meningioma (PM) in the pituitary region, analyzing the oral manifestations of SAI, the relationship between these pathologies and discuss the clinical data with the literature. Case Detailing: Female research participant, 53 years old, appeared on the Center for Dental Specialization, with the main complaint: "Dark spots appeared on my mouth." In the intra-oral examination, was observed a flat, rough and melanocytic pigmentation lesion, located in the jugal mucosa, tongue and palate for 4 years. The medical history demonstrates a psamomatous meningioma in the pituitary region and underwent radiotherapy and surgery 10 years ago. Final considerations: SAI is an uncommon pathology, with no specific symptoms, which makes the diagnosis difficult. The health professional should make a good history and be aware of the patient's history.