Watson J P, Lewis R A
Department of Respiratory Medicine, Worcester Royal Infirmary, UK.
Postgrad Med J. 1996 Jul;72(849):435-6. doi: 10.1136/pgmj.72.849.435.
We present a case of Schmidt's syndrome (autoimmune Addison's disease and hypothyroidism) associated with sarcoidosis. There have been only four previous reports of Schmidt's syndrome with sarcoidosis, and a possible fifth with negative autoantibodies. We have been able to find only four other reports of adrenal failure (without hypothyroidism) in sarcoidosis. It is important to be aware of the potential for masking the diagnosis of Addison's disease by steroid treatment.
我们报告一例与结节病相关的施密特综合征(自身免疫性艾迪生病和甲状腺功能减退症)。此前仅有4例施密特综合征合并结节病的报告,可能还有1例自身抗体阴性的病例报告。我们仅能找到另外4例结节病伴肾上腺功能衰竭(无甲状腺功能减退症)的报告。必须意识到类固醇治疗可能会掩盖艾迪生病的诊断。