Kuwahara K, Fukata J, Kamio M, Mochizuki T, Tsuchiya A, Tanaka S
Endocrine Service and Division of Hematology, Shizuoka City Hospital, Shizuoka.
Intern Med. 1998 Jan;37(1):73-6. doi: 10.2169/internalmedicine.37.73.
A 72-year-old man who suffered from recurrent fever was found to have enlarged bilateral adrenal glands on computed tomographic scanning, combined with subclinical adrenal insufficiency. Based on the pathology of bone marrow aspiration, he was diagnosed to have an angiotropic large cell lymphoma (ALCL). Soon after the treatment with a combination chemotherapy, he achieved complete remission of ALCL and size and function of the adrenal glands were apparently normalized. ALCL should be included in the list of differential diagnoses of non-functioning bilateral adrenal swelling with non-specific symptoms such as fever.
一名72岁反复发热的男性在计算机断层扫描中发现双侧肾上腺肿大，并伴有亚临床肾上腺功能不全。根据骨髓穿刺病理，他被诊断为血管中心性大细胞淋巴瘤（ALCL）。联合化疗治疗后不久，他的ALCL完全缓解，肾上腺大小和功能明显恢复正常。对于出现发热等非特异性症状的无功能双侧肾上腺肿大，鉴别诊断应包括ALCL。
