Clinical and CT characteristic of adrenal tuberculosis complicated with Addison’s disease

doi:10.3969/j.issn.1000-6621.2020.03.018

Abstract

Abstract:

Addison’s disease is rare and in China, adrenal tuberculosis is the main cause. Clinical data of 2 cases of adrenal tuberculosis complicated with Addison’s disease in Wuhan Pulmonary Hospital and 135 cases of adrenal tuberculosis reported in literatures were collected. By analyzing the clinical characteristics, diagnosis and treatment, it is found that abdominal distention, accompanied with asthenia, poor appetite, nausea and vomiting, and pigmentation in the skin folds are the main clinical manifestations;and the enhanced and calcified peripheral ring is characteristic sign in CT scan.The manifestations of adreno-surgical tissue specimen, CT features of adrenal and extra-adrenal tuberculosis, evidence of tuberculosis infection in laboratory, and diagnostic anti-tuberculous drug treatment are all helpful to the diagnosis of adrenal tuberculosis. Besides the standardized anti-tuberculous drug treatment, the adrenal cortex replacement therapy is equally important.

Key words: Tuberculosis, Adrenal glands diseases, Adrenal insufficiency, Disease attributes, Diagnostic imaging, Consensus development conferences as topic

YANG Cheng-qing,DU Rong-hui,CAO Tan-ze,ZHOU Meng,MEI Chun-lin,CHEN Shu-fang,OU Jia-li. Clinical and CT characteristic of adrenal tuberculosis complicated with Addison’s disease[J]. Chinese Journal of Antituberculosis, 2020, 42(3): 276-281. doi: 10.3969/j.issn.1000-6621.2020.03.018

Figures/Tables 2

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