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  • Title: Primary adrenal insufficiency due to adrenal tuberculosis: a case report.
    Author: Yu J, Lu Y, Han B.
    Journal: J Int Med Res; 2020 Dec; 48(12):300060520980590. PubMed ID: 33356711.
    Abstract:
    We report a case of primary adrenal insufficiency (PAI) due to adrenal tuberculosis with no findings of active tuberculosis in the lung of a 51-year-old female patient. The patient was admitted with a 10-year history of skin hyperpigmentation and was diagnosed with PAI. The primary cause was adrenal tuberculosis. An adrenocorticotropic hormone stimulation test, T-Spot test and adrenal computed tomography scan were used to confirm the diagnosis. The patient's status improved, and the hyperpigmentation subsided after 15 months of treatment with anti-tuberculosis drugs and cortisol replacement therapy.
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