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结核性艾迪生病与甲状腺毒症。

Tuberculous Addison's disease and thyrotoxicosis.

作者信息

Casten C P, Towne W D

出版信息

JAMA. 1978 May 12;239(19):2014-5. doi: 10.1001/jama.239.19.2014.

Abstract

Addison's disease developed in two patients after they had tuberculosis. Thyrotoxicosis subsequently developed. In both cases, the adrenal glands were calcified, suggesting that Addison's disease was tuberculous in origin. Results of tests for antihyroglobulin, antimicrosomal, and adrenal cortex antibodies were normal. These findings do not suggest an autoimmune basis for the occurrence of the two endocrinopathies. The rarity of the simultaneous occurrence of both disorders suggests it to be fortuitous.

摘要

两名患者在患肺结核后患上了艾迪生病。随后又出现了甲状腺毒症。在这两个病例中,肾上腺均有钙化,提示艾迪生病起源于结核。抗甲状腺球蛋白、抗微粒体和肾上腺皮质抗体检测结果均正常。这些发现并不提示这两种内分泌病的发生存在自身免疫基础。这两种疾病同时发生的罕见性表明这是偶然的。

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