This case scenario beautifully exemplifies the classic evolution of autoimmune diseases in polyglandular endocrinopathy, namely APS type-1. The entity was initially diagnosed as a schoolboy presenting with recurrent mucocutaneous candidiasis, hypocalcemic tetany, and nail dystrophy. He was well on medication, though later lost to follow-up. Few years later, he was readmitted with hypotensive shock and recurrent tetany which occurred on discontinuation of drugs. Interestingly, his plasma ACTH was very high, and cortisol was low, thereby unmasking an adrenal crisis. During the illness, he developed intestinal tuberculosis, and anti-TB drugs might have precipitated the adrenal crisis.