Kosin Med J.  2013 Dec;28(2):183-186. 10.7180/kmj.2013.28.2.183.

A Case of Adrenal Tuberculosis with Atypical Clinical Manifestation

Affiliations
  • 1Department of Internal Medicine, College of Medicine, Catholic University of Daegu, Korea. jed15@cu.ac.kr
  • 2Department of Internal Medicine, College of Medicine, Kosin University, Busan, Koera.

Abstract

Addison's disease is a rare disorder that causes fatigue, genral weakness, weight loss, pigmentation due to adrenal hypofunction and it's underlying causes are various. We report a case of 42-year-old man with fatigue, generalized cutaneous pigmentation. Computed tomography showed bilateral adrenal enlargement, but no calcification. Adrenal tuberculosis was established by ultrasound-guided fine needle aspiration biopsy.

Keyword

Addison's disease; Adrenal tuberculosis

MeSH Terms

Addison Disease
Adult
Biopsy
Biopsy, Fine-Needle
Fatigue
Humans
Pigmentation
Tuberculosis*
Weight Loss

Figure

  • Fig. 1. Dynamic adrenal gland computed tomography. Both adrenal gland show nodular hyperplasia and enlargement. (A) pre-enhance phase, (B) arterial phase.

  • Fig. 2. Skin punch biopsy. The melanocytes are mildly increased in number (HE stain, × 400).

  • Fig. 3. Adrenal gland, Fine needle aspiration biopsy. There is a caseation necrosis which is suspicious of tuberculosis (HE stain, × 400).


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