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KMID : 0356619950100030306
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Journal of Korean Society of Endocrinology
1995 Volume.10 No. 3 p.306 ~ p.312
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A Case of Addison's Disease due to Tuberculosis : Pathological Confirmation by Fine-Needle Aspiration Biopsy
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김지영
전호춘/김경영/차성은/최형석/손 인/이가희
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Abstract
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We reported a case of Addison's disease due to tuberculosis, which was pathologically confirmed by fine-needle aspiration biopsy.
In a 39-year-old man with fatigue, weakness, and generalized cutaneous pigmentation, the diagnosis of Addison's diasese was made by the finding of elevated plasma ACTH level and subnormal response to rapid ACTH test. Computed tomographic scan
revealed
bilateral adrenal mass with heterogenous uptake and peripheral rim enhancement, and calcification. Ultrasound-guided fine-needle aspiration biopsy of the left adrenal mass disclosed granulomatous inflammation with caseation necrosis. The patient
also
had active tuberculosis in the right inguinal lymph node(J Kor Soc Endocrinol 10:296~310, 1995).
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KEYWORD
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