Martínez Albaladejo M, García López B, Serrano Corredor S, Alguacil García G
Servicio de Medicina Interna, Hospital Comarcal del Noroeste, Caravaca de la Cruz, Murcia.
An Med Interna. 1996 Dec;13(12):595-7.
Primary adrenal insufficiency is a non frequent disease, that is declared in young adults and in the most of the cases is produced from an autoimmune mechanism or a tuberculous disease. The incidence of these forms in the different geographic areas is dependent of degree of irradication of the tuberculosis. We report the case of a patient with latent chronic adrenal insufficiency of tuberculous origin who was affected for an addisonian crisis during an intercurrent infectious disease, which permitted the diagnosis of the addisonian crisis, and Mal of Pott was moreover detected. Evolution with corticosteroid and specific treatment was very favorable.
原发性肾上腺皮质功能减退是一种不常见的疾病，多见于年轻人，大多数情况下由自身免疫机制或结核病引起。这些类型在不同地理区域的发病率取决于结核病的根除程度。我们报告了一例结核源性潜在慢性肾上腺皮质功能减退患者的病例，该患者在并发感染性疾病期间发生了艾迪生病危象，从而得以诊断艾迪生病危象，此外还检测到了波特病。采用皮质类固醇和特异性治疗后病情进展非常顺利。
