Okay, let's tackle this question. The question is about primary adrenocortical deficiency, also known as Addison's disease. The task is to identify which of the listed options is not seen in this condition.

First, I need to recall the key features of primary adrenocortical insufficiency. Primary means the problem is in the adrenal glands themselves, leading to deficiencies in both cortisol and aldosterone. The adrenal glands are under the pituitary's control via ACTH, but in primary, the adrenal cortex isn't functioning.

Common symptoms include hyperpigmentation due to increased ACTH (since ACTH is high in primary because of lack of cortisol feedback), hypoglycemia from cortisol deficiency, hyponatremia and hyperkalemia from aldosterone deficiency leading to sodium loss and potassium retention. Also, there's often hypotension because of volume depletion from aldosterone issues.

Now, looking at the options, even though they aren't listed, typical options might include hyperglycemia, which would be incorrect because cortisol deficiency leads to hypoglycemia. Another incorrect option could be hypokalemia, but primary adrenocortical deficiency usually causes hyperkalemia. Also, maybe options like weight gain, which is more seen in Cushing's, but in Addison's, weight loss is common.

Wait, the question is asking for what is NOT seen. So the correct answer would be an option that contradicts the usual findings. For example, if an option says "elevated blood pressure," that's incorrect because primary adrenocortical deficiency leads to hypotension. Or hyperglycemia instead of hypoglycemia.

Another thing to consider is the presence of autoantibodies in autoimmune Addison's, but that's not part of the question's scope. The options might include things like moon face, which is Cushing's, not Addison's.

So, the core concept here is understanding the clinical features of primary adrenocortical insufficiency versus secondary. The key is that primary involves both zones of the adrenal cortex, leading to ACTH elevation, hyperpigmentation, electrolyte imbalances, and hypoglycemia. The exception would be something that doesn't fit these, like hyperglycemia or hypokalemia.

**Core Concept**
Primary adrenocortical deficiency (Addison’s disease) results from destruction of the adrenal cortex, leading to cortisol and aldosterone deficiency. Key features include hyperpigmentation (elevated ACTH), hypoglycemia, hyponatremia, hyperkalemia, and hypotension due to mineralocorticoid deficiency. Secondary adrenal insufficiency (pituitary/pituitary ACTH deficiency) lacks hyperpigmentation and has low ACTH.

**Why the Correct Answer is Right**
The correct answer is **hyperglycemia**. Cortisol deficiency impairs gluconeogenesis and glycogenolysis, causing hypoglycemia. In contrast, conditions like Cushing’s syndrome (excess cortisol) present with hyperglycemia. Aldosterone deficiency leads to sodium loss and potassium retention, contributing to hyponatremia and hyperkalemia.

**Why Each Wrong Option is Incorrect**
**Option A:** *Hypotension* is seen due to volume depletion from

✓ Correct Answer: B. Hypertension