Primary adrenal insufficiency due to adrenal tuberculosis: a case report

We report a case of primary adrenal insufficiency (PAI) due to adrenal tuberculosis with no findings of active tuberculosis in the lung of a 51-year-old female patient. The patient was admitted with a 10-year history of skin hyperpigmentation and was diagnosed with PAI. The primary cause was adrenal...

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Bibliographic Details
Main Authors: Jie Yu, Yingli Lu, Bing Han
Format: Article
Language:English
Published: SAGE Publishing 2020-12-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/0300060520980590
Description
Summary:We report a case of primary adrenal insufficiency (PAI) due to adrenal tuberculosis with no findings of active tuberculosis in the lung of a 51-year-old female patient. The patient was admitted with a 10-year history of skin hyperpigmentation and was diagnosed with PAI. The primary cause was adrenal tuberculosis. An adrenocorticotropic hormone stimulation test, T-Spot test and adrenal computed tomography scan were used to confirm the diagnosis. The patient’s status improved, and the hyperpigmentation subsided after 15 months of treatment with anti-tuberculosis drugs and cortisol replacement therapy.
ISSN:1473-2300