Primary Adrenal Tuberculosis Causing Adrenal Insufficiency
VV Maller, MO Afzal, S Shankar
Hong Kong J Radiol 2016;19:e6-9
DOI: 10.12809/hkjr1615361
Addison’s disease with bilateral adrenal enlargement can be due to infectious or non-infectious causes. The imaging characteristics of adrenal tuberculosis vary with the duration of Addison’s disease and should be differentiated from other causes of bilateral adrenal enlargement. Imaging in tuberculous Addison’s disease usually demonstrates bilateral enlarged adrenal glands with calcifications and peripheral enlargement although in later stages the adrenal gland becomes atrophic and calcified. We present a case report of a middle-aged male with histopathologically proven tuberculosis with Addison’s disease.
中文摘要
原發性腎上腺結核引致腎上腺功能不全
VV Maller, MO Afzal, S Shankar
阿狄森氏病（Addison’s disease）併發雙側腎上腺增大可能是由於感染性或非感染性的病因。腎上腺結核的成像特性隨阿狄森氏病的持續時間而改變，並且應該從雙側腎上腺腫大的其他原因分辨出來。阿狄森氏病結核病的成像一般顯示兩側增大腎上腺鈣化和外圍增大，後期腎上腺變得萎縮並鈣化。本文報告一名患有阿狄森氏病的中年男性患者，病理證實為結核。