肾上腺结核合并Addison’s病42例临床分析

Clinical analysis of 42 adrenal tuberculosis cases complicated with Addison's disease

目的 探讨肾上腺结核合并Addison’s病的临床特点。方法 回顾性分析 4 2例肾上腺结核合并Addison’s病的临床资料。结果 4 2例肾上腺结核合并Addison’s病病例中 ,30例 (71 4 % )伴有肾上腺外结核 ;39例化验红细胞沉降率 ,2 6例增快 ;2 7例行PPD试验 ,2 0例阳性 ;2 5例行CT扫描 ,2 0例 (80 % )有肾上腺钙化 ,18例 (72 % )肾上腺增大。结论 肾上腺结核是我国Addison’s病的常见原因 ,且常伴有肾上腺外结核 ,CT扫描显示肾上腺钙化、增大对结核性Addison’s病的诊断具有特征性。

Objective To investigate the clinical characteristics of Addison's disease caused by adrenal tuberculosis. Method The clinical information of 42 cases with Addison's disease causeel by adrenal tuberculosis were reviewed. Results Of the 42 cases with tuberculous Addison's disease, 30 cases complicate with extra-adrenal tuberculosis; erythrocyte sedimentation rate (ESR) was increased in 26 cases among 39 cases examined; PPD test was positive in 20 cases among 27 cases examined; adrenal gland calcification and enlargement were showed in 20 (80%) and 18 cases (72%) respectively among 25 cases examined with CT scanning. Conclusion Adrenal tuberculosis was the commonest cause of Addison's disease in our country. Usually complicated with extra-adrenal tuberculosis. Adrenal calcification, enlargment showed by CT scanning was specific signs for the diagnosis of tuberculous Addison's disease.