A Case of Adrenal Tuberculosis with Atypical Clinical Manifestation

Moo Hyun Son; Jung Kyu Park; Hyun Sik Hwang; Byung Ho Kim; Eui Dal Jung; Young Sik Choi

doi:10.7180/kmj.2013.28.2.183

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Son, Park, Hwang, Kim, Jung, and Choi: A Case of Adrenal Tuberculosis with Atypical Clinical Manifestation

Case Report

Kosin Medical Journal 2013;28(2):183-186.

Published online: 19 January 2013

DOI: https://doi.org/10.7180/kmj.2013.28.2.183

A Case of Adrenal Tuberculosis with Atypical Clinical Manifestation

Moo Hyun Son¹, Jung Kyu Park¹, Hyun Sik Hwang¹, Byung Ho Kim¹, Eui Dal Jung¹, Young Sik Choi²

¹Department of Internal Medicine, College of Medicine, Catholic University of Daegu, Korea

²Department of Internal Medicine, College of Medicine, Kosin University, Busan, Korea

Corresponding author: Eui Dal Jung, Department of internal Medicine, Catholic University of Daegu School of Medicine, 33 gil 17 Duryugongwon-ro, Nam-gu, Daegu, 705-718, Korea TEL: +82-53-650-4026 FAX: +82-53-651-4009 E-mail: jed15@cu.ac.kr

Received 4 October 201226 October 2012 Accepted 26 October 2012

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Addison’s disease is a rare disorder that causes fatigue, genral weakness, weight loss, pigmentation due to adrenal hypofunction and it’s underlying causes are various. We report a case of 42-year-old man with fatigue, generalized cutaneous pigmentation. Computed tomography showed bilateral adrenal enlargement, but no calcification. Adrenal tuberculosis was established by ultrasound-guided fine needle aspiration biopsy.

Keywords: Addison’s disease, Adrenal tuberculosis

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Fig. 1.

Dynamic adrenal gland computed tomography. Both adrenal gland show nodular hyperplasia and enlargement. (A) pre-enhance phase, (B) arterial phase.

Fig. 2.

Skin punch biopsy. The melanocytes are mildly increased in number (HE stain, × 400).

Fig. 3.

Adrenal gland, Fine needle aspiration biopsy. There is a caseation necrosis which is suspicious of tuberculosis (HE stain, × 400).

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