Wheatley T, Gallagher S, Dixon A K
Postgrad Med J. 1985 May;61(715):435-8. doi: 10.1136/pgmj.61.715.435.
A patient presented with fever, malaise and a staphylococcal wound infection occurring 3 weeks after severe haemorrhage from a lacerated brachial artery. There were no clinical features to suggest Addison's disease but abdominal computed tomography to exclude abdominal sepsis showed bilateral adrenal gland enlargement with preservation of adrenal shape. This was consistent with resolving adrenal haemorrhage or infarction and endocrinological investigations confirmed primary adrenal failure.
一名患者在肱动脉撕裂导致严重出血3周后出现发热、不适及葡萄球菌伤口感染。无临床特征提示艾迪生病，但为排除腹部脓毒症而行的腹部计算机断层扫描显示双侧肾上腺增大，肾上腺形态保留。这与正在消退的肾上腺出血或梗死相符，内分泌学检查证实为原发性肾上腺功能衰竭。
