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Diagnostic Role of Tomography in Addison's Disease due to Adrenal Tuberculosis: A Case Report.
Quiroz-Aldave, Juan Eduardo; Durand-Vásquez, María Del Carmen; Gamarra-Osorio, Elman Rolando; Zavaleta-Aldave, Sara Elizabeth; Zavaleta-Aldave, Alejandra Noemí; Rodríguez-Reyna, Jorge; Quesquén-García, Cyntia Mileini; Alberto Concepción-Urteaga, Luis; Pecho-Silva, Samuel; Rodríguez-Hidalgo, Luis Alejandro; Paz-Ibarra, José; Concepción-Zavaleta, Marcio José.
Afiliación
  • Quiroz-Aldave JE; Division of Non-communicable diseases, Endocrinology research line, Hospital de Apoyo Chepén, Chepén, Perú.
  • Durand-Vásquez MDC; Division of Non-communicable diseases, Endocrinology research line, Hospital de Apoyo Chepén, Chepén, Perú.
  • Gamarra-Osorio ER; Division of Endocrinology, Hospital Víctor Lazarte Echegaray, Trujillo, Perú.
  • Zavaleta-Aldave SE; Division of Medicine, Centro de Salud Mental Comunitario 'Flor de Loto', San Ignacio, Perú.
  • Zavaleta-Aldave AN; School of Medicine, Universidad Nacional de Cajamarca, Cajamarca, Perú.
  • Rodríguez-Reyna J; Tomonorte. Trujillo, Perú.
  • Quesquén-García CM; Division of Public Health, Red de Salud Chepén, Chepén, Perú.
  • Alberto Concepción-Urteaga L; Division of Pneumology, Hospital Regional Docente de Trujillo, Trujillo, Perú.
  • Pecho-Silva S; Universidad Científica del Sur, Lima, Perú.
  • Rodríguez-Hidalgo LA; Division of Pneumology, Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú.
  • Paz-Ibarra J; Division of Pneumology, Hospital Regional Docente de Trujillo, Trujillo, Perú.
  • Concepción-Zavaleta MJ; Department of Medicine, School of Medicine, Universidad Nacional Mayor de San Marcos, Lima, Peru.
Endocr Metab Immune Disord Drug Targets ; 2024 Jul 23.
Article en En | MEDLINE | ID: mdl-39075959
ABSTRACT

INTRODUCTION:

Adrenal tuberculosis remains the main cause of primary adrenal insufficiency (PAI) in tuberculosis (TB)-prevalent regions. This case report details the presentation of PAI due to adrenal TB, where the etiological diagnosis involves Abdominal Computed Tomography (CT). CASE REPORT A 37-year-old Peruvian woman with a history of TB contact displayed symptoms of adrenal insufficiency. PAI diagnosis was established, and CT imaging unveiled bilateral adrenal enlargement with calcifications. Treatment with prednisone and anti-TB therapy led to symptomatic improvement. Unfortunately, she succumbed to pneumonia after ten months of follow-up.

DISCUSSION:

Adrenal TB must be considered in endemic regions and in the presence of a TB history. CT serves as a valuable diagnostic tool, particularly in settings with limited resources, revealing adrenal enlargement and calcifications.

CONCLUSION:

In patients with PAI, epidemiological history of TB, and when a rapid biopsy is not feasible, CT proves to be a valuable diagnostic method.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Endocr Metab Immune Disord Drug Targets Asunto de la revista: ALERGIA E IMUNOLOGIA / ENDOCRINOLOGIA / METABOLISMO / TERAPIA POR MEDICAMENTOS Año: 2024 Tipo del documento: Article Pais de publicación: Emiratos Árabes Unidos
Texto completo
Añadir a Mi BVS
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Endocr Metab Immune Disord Drug Targets Asunto de la revista: ALERGIA E IMUNOLOGIA / ENDOCRINOLOGIA / METABOLISMO / TERAPIA POR MEDICAMENTOS Año: 2024 Tipo del documento: Article Pais de publicación: Emiratos Árabes Unidos