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Endocrine Abstracts (2015) 37 EP1170 | DOI: 10.1530/endoabs.37.EP1170

Central Hospital of Army, Algiers, Algeria.

Adrenal tuberculosis was first described by Thomas Addison in 1855, Isolated adrenal tuberculosis is rare and between represents 1–2% of the aetiologies of adrenal masses called expired incidentalomas. We report the case of a related Addison’s disease is a progressive adrenal tuberculosis which could benefit from exploration and a tomography monitoring on anti tuberculosis treatment. Patient aged 35 years presented himself to medical emergency with clinical surgical nickname, the diagnosis of adrenal insufficiency decompensation was made. Our patient underwent adequate replacement therapy, with correction of electrolyte disturbances. The aetiological investigation concluded in adrenal tuberculosis on the basis of arguments. History of pulmonary tuberculosis treated, melanodermia gradual onset, progressive weight encrypted fall has 16 kg in 3 years, TA figures tend to decline, Malaise hypoglycemic with difficulty fasting month of Ramadan. TST positive tuberculin 25 mm.La chest X-ray shows pulmonary tuberculosis effects and abdominal CT shows bilateral adrenal hypertrophy presence of multiple nodules that larger situated right 21 mm major axis. After a treatment based TB established for 6 months, a radiological objective control complete disappearance of radiological lesions surrenalien. Un base cortisol is collapsed income 89 ng/l. In light of this observation we update on this rare disease. Adrenal tuberculosis can be discovered on the occasion of the setting evidence of adrenal mass was the initial phase of bacillary disease, there adrenal hypertrophy before the appearance hormonal insufficiency.

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