Pediatric Radiology

, Volume 16, Issue 6, pp 522–524 | Cite as

Addison's disease due to tuberculosis in a 13-year-old girl

  • A. Jagannath
  • P. W. Brill
  • P. Winchester
Short Reports

Abstract

A 13-year-old girl developed Addison's disease during antituberculous therapy for presumed tuberculous ventriculitis. CT of the abdomen showed diffusely enlarged hypodense adrenals and a hypodense lesion in the lower pole of the left kidney. Biopsy of the renal lesion revealed caseating and noncaseating granulomas.

Keywords

Public Health Tuberculosis Lower Pole Left Kidney Renal Lesion 

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References

  1. 1.
    Addison T (1853) On the constitutional and local effects of diseases of the supraarenal capsules, Vol II. S. Highley, London, p43Google Scholar
  2. 2.
    Jaudon JC (1946) Addison's disease in children. J Pediatr 28: 737Google Scholar
  3. 3.
    Migeon CJ, Lanes R. Adrenal cortex: hypo- and hyperfunction. In: Lifshitz F (ed) Pediatric endocrinology, a clinical guide. Marcel Dekker, New York, p 186Google Scholar
  4. 4.
    Mason AS, Meade TW, Lee JA (1968) Epidemiological and clinical picture of Addison's disease. Lancet 2: 744PubMedGoogle Scholar
  5. 5.
    Eason RJ, Croxson MS, Perry MC, Somerfield MB (1982) Addison's disease, adrenal autoantibodies and computerised adrenal tomography. NZ Med J 95: 569Google Scholar
  6. 6.
    Ustvedt HJ (1949) The position of suprarenal tuberculosis in the time-table of tuberculosis. Acta Tub Scand [Suppl] 21: 102Google Scholar
  7. 7.
    Barker NW (1929) The pathologic anatomy in 28 cases of Addison's disease. Arch Pathol 8: 432Google Scholar
  8. 8.
    Guttman PH (1930) Addison's disease: a statistical analysis of 566 cases and a study of pathology. Arch Pathol 10: 742, 895Google Scholar
  9. 9.
    Wilms GE, Baert AL, Kint JE, Pringot JH, Goddeeris PG (1983) Computed tomographic findings in bilateral adrenal tuberculosis. Radiology 146: 729PubMedGoogle Scholar
  10. 10.
    Doppman JL, Gill JR, Nienhuis AW, Earll JM, Long Jr JA (1982) CT findings in Addison's disease. J Comput Assist Tomogr 6 (4): 757PubMedGoogle Scholar
  11. 11.
    Huebener K-H, Treugut H (1984) Adrenal cortex dysfunction: CT findings. Radiology 150: 195PubMedGoogle Scholar
  12. 12.
    McMurry Jr JF, Long D, McClure R, Kotchen TA (1984) Addison's disease with adrenal enlargement on computed tomographic scanning. Am J Med 77: 365CrossRefPubMedGoogle Scholar
  13. 13.
    Sawczuk IS, Reitelman C, Libby C, Grant D, Vita J, White RdV (1986) CT findings in Addison's disease caused by tuberculosis. Urol Radiol 8: 44PubMedGoogle Scholar
  14. 14.
    Kaplan SA (1979) Disorders of the adrenal cortex I. Pediatr Clin North Am 26: 65PubMedGoogle Scholar
  15. 15.
    Wilson DA, Muchmore HG, Tisdal RG, Fahmy A, Pitha JV (1984) Histoplasmosis of the adrenal glands studied by CT. Radiology 150: 779PubMedGoogle Scholar
  16. 16.
    Wolverson MK, Kannegieser H (1984) CT of bilateral adrenal hemorrage with acute adrenal insufficiency in the adult. Am J Roentgenol 142: 311Google Scholar
  17. 17.
    Edwards OM, Courtney-Evans RJ, Galley JM, Hunter J, Tait AD (1974) Changes in cortisol metabolism following rifampin therapy. Lancet 2: 549Google Scholar
  18. 18.
    Annear TD, Baker GP (1961) Tuberculous Addison's disease. A case apparently cured by chemotherapy. Lancet 2: 577PubMedGoogle Scholar
  19. 19.
    Coleman EN, Arneil GC (1962) Acute tuberculous adrenocortical failure with clinical recovery. Lancet 1: 886Google Scholar

Copyright information

© Springer-Verlag 1986

Authors and Affiliations

  • A. Jagannath
    • 1
  • P. W. Brill
    • 1
  • P. Winchester
    • 1
  1. 1.Department of RadiologyNew York Hospital-Cornell Medical CenterNew YorkUSA

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