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Case Report
A Case of Adrenal Tuberculosis with Atypical Clinical Manifestation - Moo Hyun Son1, Jung Kyu Park1, Hyun Sik Hwang1, Byung Ho Kim1, Eui Dal Jung1, Young Sik Choi2
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Kosin Medical Journal 2013;28(2):183-186.
DOI: https://doi.org/10.7180/kmj.2013.28.2.183
Published online: January 19, 2013
1Department of Internal Medicine, College of Medicine, Catholic University of Daegu, Korea
2Department of Internal Medicine, College of Medicine, Kosin University, Busan, Korea
- Corresponding author: Eui Dal Jung, Department of internal Medicine, Catholic University of Daegu School of Medicine, 33 gil 17 Duryugongwon-ro, Nam-gu, Daegu, 705-718, Korea TEL: +82-53-650-4026 FAX: +82-53-651-4009 E-mail: jed15@cu.ac.kr
• Received: October 4, 2012 • Accepted: October 26, 2012
Copyright © 2013 Kosin University School of Medicine Proceedings
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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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.
Fig. 1.Dynamic adrenal gland computed tomography. Both adrenal gland show nodular hyperplasia and enlargement. (A) pre-enhance phase, (B) arterial phase.
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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