Torfoss D, von de Lippe E, Jacobsen D
Department of Internal Medicine, Ullevaal University Hospital, Oslo, Norway.
J Intern Med. 1997 Jun;241(6):525-8. doi: 10.1111/j.1365-2796.1997.tb00012.x.
Two cases of young healthy males presenting with cardiac tamponade and developing clinical adrenal insufficiency within a few weeks are described. On presentation they had a brisk inflammatory response with complement activation. Both had signs of subclinical hepatitis, and both have later shown evidence of thyroid involvement. The possibility of a connection between pericarditis and adrenal insufficiency is discussed.
本文描述了两例年轻健康男性病例，他们出现心脏压塞，并在几周内发展为临床肾上腺功能不全。就诊时，他们有活跃的炎症反应和补体激活。两人均有亚临床肝炎的体征，且后来均显示出甲状腺受累的证据。文中讨论了心包炎与肾上腺功能不全之间存在关联的可能性。
