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结核性肾上腺炎致可逆性小脑共济失调和双相情感障碍。

Reversible cerebellar ataxia and bipolar disorder secondary to tuberculous adrenalitis.

机构信息

Department of General Medicine, MES Medical College, Perinthalmanna, Kerala, India.

出版信息

Int J Mycobacteriol. 2021 Jan-Mar;10(1):79-81. doi: 10.4103/ijmy.ijmy_201_20.

DOI:10.4103/ijmy.ijmy_201_20
PMID:33707376
Abstract

Addison's disease is primary adrenal insufficiency which is most commonly due to an autoimmune disease. Patients usually presents with fatigue, anorexia, gastrointestinal complaints, salt craving, and orthostatic hypotension. Rare manifestations during presentation can result in diagnostic dilemma. A 53-year-old male presented with cerebellar ataxia and bipolar disorder secondary to Addison's disease (due to tuberculous adrenalitis) which improved following treatment with steroids. We describe a patient with Addison's disease who presented with two rare manifestations which to our knowledge is the first such report.

摘要

艾迪生病(Addison's disease),即原发性肾上腺功能不全,最常见的病因是自身免疫性疾病。患者通常表现为疲劳、食欲不振、胃肠道不适、嗜盐和体位性低血压。在发病时,罕见的表现可能导致诊断困难。我们报告了 1 例 53 岁男性患者,因艾迪生病(由结核性肾上腺炎引起)出现小脑共济失调和双相情感障碍,经类固醇治疗后好转。据我们所知,该患者是首例以两种罕见表现起病的艾迪生病患者。

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