一种常见疾病的罕见表现：病例报告。

A Rare Presentation of a Common Disease: A Case Report.

机构信息

Senior Resident, Department of Internal Medicine, Coimbatore Government Medical College, Coimbatore, Tamil Nadu, India, Corresponding Author.

Professor of Medicine, Department of Internal Medicine, Coimbatore Government Medical College, Coimbatore, Tamil Nadu, India.

出版信息

J Assoc Physicians India. 2024 Oct;72(10):93-95. doi: 10.59556/japi.72.0660.

DOI:10.59556/japi.72.0660

PMID:39390870

Abstract

Addison's disease (AD), or primary adrenal insufficiency, was first described by Thomas Addison in patients with adrenal tuberculosis (TB). Over the past several decades, along with the introduction of antituberculous treatment (ATT), the incidence of both has declined. The most common symptoms are nonspecific, leading to delayed diagnosis; patients may first present with a life-threatening crisis. Here, we report a case of AD that, upon further workup, was found to be due to one of the most common infections in India-TB.

摘要

艾迪生病（Addison's disease，AD），也称原发性肾上腺功能不全，首次由托马斯·艾迪生（Thomas Addison）在肾上腺结核（tuberculosis，TB）患者中描述。在过去几十年中，随着抗结核治疗（antituberculous treatment，ATT）的引入，这两种疾病的发病率都有所下降。最常见的症状是非特异性的，导致诊断延迟；患者可能首先出现危及生命的危象。在此，我们报告一例 AD 病例，进一步检查发现其病因是印度最常见的感染之一——结核。