Addison's disease due to adrenal tuberculosis: contrast-enhanced CT features and clinical duration correlation

Guo, Ye; Yang, Zhuang; Li, Y.; Ma, Ensen; Deng, Yifei; Min, Peng-Qiu; Lu, Yin; Hu, Jing; Zhang, X.-C.; Chen, T.-W.

doi:10.1016/j.clinimag.2007.08.009

Cited by 14 publications

(18 citation statements)

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“…The finding of adrenal enlargement in chronic tuberculosis has fascinated clinicians in the past. Although many studies have demonstrated that adrenal glands are enlarged in tuberculosis, only few authors have studied the natural history of such a finding . Ammini et al .…”

Section: Discussionmentioning

confidence: 99%

Pattern of adrenal morphology and function in pulmonary tuberculosis: response to treatment with antitubercular therapy

Laway

Khan

Shah

et al. 2013

Clinical Endocrinology

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Section: Discussionmentioning

confidence: 99%

Pattern of adrenal morphology and function in pulmonary tuberculosis: response to treatment with antitubercular therapy

Laway

Khan

Shah

et al. 2013

Clinical Endocrinology

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“…Among those with adrenal enlargement, mass-like lesions were noted in 49% while enlargement with preserved contours was found in the remaining 51% of patients; more than half of them had peripheral rim enhancement. With longer duration of disease, calcifications and contour preservation were seen more frequently, whereas peripheral rim enhancement and mass-like enlargement seen less significantly on CT images [9]. Adrenal glands may also be enlarged in patients with extra-adrenal tuberculosis.…”

Section: Adrenal Tuberculosismentioning

confidence: 94%

Unusual Presentations of Adrenal Masses

Kumar¹,

Singh²

2017

Clinical Management of Adrenal Tumors

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With the advancement in imaging technology and pathological evaluation, several unusual adrenal gland lesions have been identified over the years. Presently, the literature consists of case reports or small case series without a comprehensive review on these uncommon adrenal pathologies. The current chapter discusses the epidemiology, pathogenesis, pathology, imaging features and management principles of uncommonly reported infectious and neoplastic adrenal masses.

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“…In Guo's study, 75% of cases had mass-like adrenal enlargement when the duration of the disease was less than one year, whereas in longstanding disease beyond three years adrenal glands are usually smaller (Guo et al, 2007).…”

Section: Discussionmentioning

confidence: 99%

Pseudotumoral Adrenal Tuberculosis

Azzoug¹,

Terki

Chentli³

et al. 2017

ijccr

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Tuberculosis is rare nowadays, however, it should be kept in mind in the differential diagnosis of adrenal insufficiency notably in developing countries or in immunocompromised patients. We report here a case of adrenal insufficiency secondary to tuberculosis with bilateral adrenal masses. A 45 years old man was admitted to our department for investigation of a primary adrenal failure. His past medical history was significant for pleural tuberculosis eighteen years ago. He reported several months' history of generalized weakness and unintentional weight loss. On physical examination, he presented diffuse hyperpigmentation. On hormonal assessment, there was low basal cortisol level and a high level of corticotrophin. Computed tomography scan showed bilaterally enlarged adrenal glands. The tuberculin skin test was positive. With the background of tuberculosis, adrenal insufficiency diagnosed by laboratory test and positive tuberculin skin test, bilateral enlargement of adrenal glands was considered most consistent with tuberculosis. Tuberculosis remains a classic cause of adrenal insufficiency with adrenal masses. Therefore, it needs to be considered in the differential diagnosis of adrenal insufficiency or bilateral adrenal masses.

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Addison's disease due to adrenal tuberculosis: contrast-enhanced CT features and clinical duration correlation

Cited by 14 publications

References 0 publications

Pattern of adrenal morphology and function in pulmonary tuberculosis: response to treatment with antitubercular therapy

Pattern of adrenal morphology and function in pulmonary tuberculosis: response to treatment with antitubercular therapy

Unusual Presentations of Adrenal Masses

Pseudotumoral Adrenal Tuberculosis

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