肾上腺功能不全的罕见病因。
Rare cause of adrenal insufficiency.
作者信息
Hii Justin Ws, Page Michael M, Wesseldine Andrew
机构信息
Department of Geriatrics and General Medicine, St John of God Hospital, Subiaco, Western Australia, Australia.
Department of Anaesthesia and Pain Medicine, Fiona Stanley Hospital, Murdoch, Western Australia, Australia.
出版信息
BMJ Case Rep. 2017 Nov 16;2017:bcr-2016-219136. doi: 10.1136/bcr-2016-219136.
A 72-year-old man presented with weight loss, night sweats and haemoptysis and was hypotensive. CT imaging showed rapidly enlarging bilateral adrenal masses, and he was found to have primary adrenal insufficiency. An adrenal gland biopsy revealed the rare diagnosis of primary adrenal lymphoma. This unique case highlights possible rare causes of adrenal masses and adrenal insufficiency, their investigation and management principles.
一名72岁男性出现体重减轻、盗汗和咯血症状，且血压降低。CT成像显示双侧肾上腺肿块迅速增大，检查发现他患有原发性肾上腺功能不全。肾上腺活检确诊为罕见的原发性肾上腺淋巴瘤。这个独特的病例凸显了肾上腺肿块和肾上腺功能不全可能的罕见病因、相关检查及治疗原则。
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