以肾上腺功能不全为表现的淋巴瘤。计算机断层扫描显示肾上腺增大作为诊断线索。

Lymphoma presenting with adrenal insufficiency. Adrenal enlargement on computed tomographic scanning as a clue to diagnosis.

作者信息

Huminer D, Garty M, Lapidot M, Leiba S, Borohov H, Rosenfeld J B

机构信息

Department of Internal Medicine C, Tel Aviv University Sackler School of Medicine, Petah Tikva, Israel.

出版信息

Am J Med. 1988 Jan;84(1):169-72. doi: 10.1016/0002-9343(88)90029-0.

DOI:10.1016/0002-9343(88)90029-0

PMID:3276182

Abstract

A 73-year-old woman who presented with primary adrenal insufficiency and enlarged adrenal glands on computed tomographic scanning was ultimately found to have a large-cell lymphoma that had initially involved the adrenals and the stomach. A search of the English language medical literature revealed only seven other cases of lymphoma presenting with hypoadrenalism, none of which involved the stomach. As in this case, in most of those cases adrenal enlargement was documented on computed tomographic scanning. Despite its rare occurrence, lymphoma should be searched for in patients presenting with Addison's disease and enlarged adrenal glands.

摘要

一名73岁女性，因原发性肾上腺功能不全且计算机断层扫描显示肾上腺增大而就诊，最终被诊断为大细胞淋巴瘤，该淋巴瘤最初累及肾上腺和胃。检索英文医学文献发现，仅有另外7例淋巴瘤患者伴有肾上腺功能减退，其中均未累及胃。与本病例一样，在大多数此类病例中，计算机断层扫描显示肾上腺增大。尽管淋巴瘤伴肾上腺功能不全的情况罕见，但对于出现艾迪生病和肾上腺增大的患者，仍应排查淋巴瘤。