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原发性双侧肾上腺结核伴艾迪生病：一例报告

Primary bilateral adrenal tuberculosis with Addison's disease: A case report.

作者信息

Huang Yu, Zhang Yawei, Wang Haifeng, Zhang Nan

机构信息

Department of Urology, Kunming Municipal Hospital of Traditional Chinese Medicine, Kunming, Yunnan Province, China.

Department of Urology, The Second Affiliated Hospital of Kunming Medical University, Kunming, Yunnan Province, China.

出版信息

Urol Case Rep. 2024 Aug 28;56:102837. doi: 10.1016/j.eucr.2024.102837. eCollection 2024 Sep.

DOI:10.1016/j.eucr.2024.102837
PMID:39286311
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11402914/
Abstract

Primary adrenal tuberculosis is an extremely rare benign lesion that typically presents with no clinical symptoms in its early stages, making it prone to clinical misdiagnosis. We report a case of a middle-aged man initially thought to have adrenal nodules, which further examination revealed to be adrenal tuberculosis accompanied by Addison's disease. This report discusses the diagnostic approach, progressive features, and treatment options for this rare disease.

摘要

原发性肾上腺结核是一种极其罕见的良性病变，早期通常无临床症状，容易导致临床误诊。我们报告一例中年男性病例，最初被认为患有肾上腺结节，进一步检查发现是肾上腺结核伴艾迪生病。本报告讨论了这种罕见疾病的诊断方法、进展特征和治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f451/11402914/e64161dd6be5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f451/11402914/e64161dd6be5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f451/11402914/e64161dd6be5/gr1.jpg

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本文引用的文献

1
Bilateral adrenal masses due to tuberculosis: how to diagnose without extra-adrenal tuberculosis.双侧肾上腺结核肿块：如何在无肾上腺外结核的情况下进行诊断。
Endocrinol Diabetes Metab Case Rep. 2021 Dec 1;2021. doi: 10.1530/EDM-21-0093.
2
Addison's Disease Caused by Tuberculosis: Diagnostic and Therapeutic Difficulties.由结核病引起的艾迪生病：诊断与治疗难题
Eur J Case Rep Intern Med. 2018 Aug 28;5(8):000911. doi: 10.12890/2018_000911. eCollection 2018.
3
The Importance of Computed Tomography Findings in Detecting Tuberculous Addison's Disease.
计算机断层扫描结果在检测结核性艾迪生病中的重要性
Eur J Case Rep Intern Med. 2017 Jun 20;4(7):000622. doi: 10.12890/2017_000622. eCollection 2017.
4
A case report: Addison disease caused by adrenal tuberculosis.病例报告：肾上腺结核所致艾迪生病。
Urol Case Rep. 2018 May 26;20:12-14. doi: 10.1016/j.eucr.2018.05.015. eCollection 2018 Sep.
5
Study of adrenal function in patients with tuberculosis.结核病患者肾上腺功能的研究。
Indian J Tuberc. 2018 Jul;65(3):241-245. doi: 10.1016/j.ijtb.2017.08.033. Epub 2017 Oct 7.
6
Addison's Disease Caused by Tuberculosis with Atypical Hyperpigmentation and Active Pulmonary Tuberculosis.由结核病引起的艾迪生病伴非典型色素沉着和活动性肺结核。
Intern Med. 2017;56(14):1843-1847. doi: 10.2169/internalmedicine.56.7976. Epub 2017 Jul 15.
7
Clinical and Immunological Characteristics of Autoimmune Addison Disease: A Nationwide Swedish Multicenter Study.自身免疫性艾迪生病的临床和免疫学特征：一项瑞典全国性多中心研究
J Clin Endocrinol Metab. 2017 Feb 1;102(2):379-389. doi: 10.1210/jc.2016-2522.
8
The approach to the adult with newly diagnosed adrenal insufficiency.新诊断肾上腺功能不全成人患者的治疗方法。
J Clin Endocrinol Metab. 2009 Apr;94(4):1059-67. doi: 10.1210/jc.2009-0032.