Pozzi Mucelli R, Andreis M, Avataneo T, Pozzi Mucelli F
Radiol Med. 1985 Sep;71(9):606-10.
A series of thirteen cases of adrenal tuberculosis with Addison's disease is presented. At the onset of disease, CT findings consisted of an enlargement of both glands, with peripheral enhancement after contrast medium was injected. The CT differential diagnosis among tubercular, metastatic and amyloidotic etiology was not possible. When the course of the illness was favourable, CT showed a generalized glandular atrophy with calcifications. In two fatal cases, the diagnosis could be made only at post-mortem examination.
本文报告了13例肾上腺结核合并艾迪生病的病例。疾病初期,CT表现为双侧肾上腺增大,注射造影剂后周边强化。无法通过CT对结核、转移瘤和淀粉样变性病因进行鉴别诊断。病情好转时,CT显示肾上腺普遍萎缩并伴有钙化。在两例死亡病例中,仅在尸检时才能做出诊断。