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A case report: Addison disease caused by adrenal tuberculosis
Moh Adi Soedarso1, K Hery Nugroho2, K A Meira Dewi3
1Division of Urology, Surgery Department, Academic Medical Center Dr. Kariadi Hospital, Faculty of Medicine, University of Diponegoro, Semarang, Indonesia.
Abstract:
We report middle age man with skin hyperpigmentation oral and lip mucous membranes, general malaise and depression. Further examinations lead to adrenal insufficiency, Addison's disease. Imaging studies show bilateral adrenal hyperplasia, show negative result for tuberculosis. We perform laparoscopic adrenalectomy. Multiple caseosa necrosis in gross specimen and Langhan's giant cells microscopic appearance ensure patient suffered Addison's disease cause by adrenal gland tuberculosis.
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