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내분비-대사 요근농양과 십이지장누공을 동반한 부신결핵에 의한 애디슨병
정형석 ( Hyeong Seok Jeong ),신윤영 ( Yune Young Shin ),김지현 ( Ji Hyun Kim ),이정민 ( Jung Min Lee ),장상아 ( Sang Ah Chang ) 대한내과학회 2016 대한내과학회지 Vol.90 No.4
An 80-year-old male with nausea and poor oral intake was referred for evaluation of hyponatremia. Primary adrenal insufficiency was diagnosed by a rapid adrenocorticotropic hormone (ACTH) stimulation test. The cause of the adrenal insufficiency was revealed to be adrenal tuberculosis presenting as a bilateral adrenal mass on computed tomography imaging. During the first few months of treatment, the size of the tuberculous mass increased and spread to an adjacent area, and further adrenal hormone replacement was needed. In addition, there was a newly developed tuberculous abscess in a nearby psoas muscle with a duodenal fistula. Thus, we report a case of a long-term clinical course of Addison`s disease with changes in hormone replacement as a result of active adrenal tuberculosis, together with a review of the literature. (Korean J Med 2016;90:351-356)