Mokta Jatinder K, Jaswal K S, Mokta Kiran K, Panda Prashant, Dhiman D S, Sharma S, Bhatia Vikas
Department of Internal Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.
Department of General Surgery, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.
Indian J Endocrinol Metab. 2013 Dec;17(Suppl 3):S694-5. doi: 10.4103/2230-8210.123570.
Adrenal tuberculosis is a rare manifestation of active tuberculosis and is a difficult diagnosis to make if its presentation is sole manifestation of tuberculosis. We present an interesting case of a young male who presented only with symptoms of hyper pigmentation and was diagnosed as adrenal tuberculosis. Also, this report highlights the importance of drug interaction between antitubercular drug and steroid which lead to the deterioration in the early part of treatment and, later on was corrected by increasing the dose of steroids.
肾上腺结核是活动性结核的一种罕见表现，如果其表现是结核病的唯一表现，则很难做出诊断。我们报告了一例有趣的病例，一名年轻男性仅表现为色素沉着症状，被诊断为肾上腺结核。此外，本报告强调了抗结核药物与类固醇之间药物相互作用的重要性，这种相互作用导致治疗早期病情恶化，后来通过增加类固醇剂量得以纠正。
