Sarcoidosis Presenting Addison's Disease.
Intern Med
; 55(9): 1223-8, 2016.
Article
en En
| MEDLINE
| ID: mdl-27150885
ABSTRACT
We herein describe a second Japanese case of sarcoidosis presenting Addison's disease. A 52-year-old man was diagnosed with sarcoidosis based on clinical and laboratory findings, including bilateral hilar lymphadenopathy and elevated levels of serum angiotensin-converting enzyme and lysozyme, as well as the presence of noncaseating epithelioid granulomas. The patient also exhibited general fatigue, pigmentation, weight loss, hypotension and hyponatremia, suggestive of chronic adrenocortical insufficiency. An endocrine examination confirmed primary adrenocortical insufficiency. This case suggests the direct involvement of sarcoid granuloma in the adrenal glands.
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Sarcoidosis
/
Enfermedad de Addison
Tipo de estudio:
Diagnostic_studies
Idioma:
En
Revista:
Intern Med
Asunto de la revista:
MEDICINA INTERNA
Año:
2016
Tipo del documento:
Article