Letizia C, Sellini M, Baccarini S, Diacinti D, Scavo D
Cattedra di I Patologia Medica e Metodologia Clinica, Università degli Studi La Sapienza di Roma.
Minerva Endocrinol. 1990 Apr-Jun;15(2):101-4.
This case reports deals with a male patient, white, aged 51, bricklayer, tobacco smoker. At 43 years old a tubercular epididimite was surgically treated with orchiectomy. Recently, the reports marked weakness, weight loss, headache, vertigo, hypotension. On admittance to the hospital, hyperpigmentation was also present. Previous therapy (cortisone acetate 40 mg/die), was suspended, clinical investigations showed impaired adrenal and thyroidal functions; antimicrosomal antibodies were also present. Therefore therapy with cortisone acetate (25 mg x 2/die, 9-alpha-fluorohydrocortisone 0.1 mg/die and L-thyroxine 100 mcg/die) was instituted with marked improvement of the patient's conditions. This case reports highlights the importance of proceeding with complete investigations on the system, even when dealing with a tubercular Addison's disease.
本病例报告涉及一名51岁的白人男性泥瓦匠，有吸烟史。43岁时因结核性附睾炎接受了睾丸切除术。最近，报告显示其有明显的虚弱、体重减轻、头痛、眩晕和低血压症状。入院时还发现有色素沉着。之前使用醋酸可的松（40毫克/天）的治疗被暂停，临床检查显示肾上腺和甲状腺功能受损，同时存在抗微粒体抗体。因此，开始使用醋酸可的松（25毫克×2/天）、9-α-氟氢可的松（0.1毫克/天）和左旋甲状腺素（100微克/天）进行治疗，患者病情有明显改善。本病例报告强调了即使是在处理结核性艾迪生病时，对该系统进行全面检查的重要性。
