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Case Report
A Case of Adrenal Tuberculosis with Atypical Clinical Manifestation
Moo Hyun Son1, Jung Kyu Park1, Hyun Sik Hwang1, Byung Ho Kim1, Eui Dal Jung1, Young Sik Choi2
Kosin Medical Journal 2013;28(2):183-186.
Published online: January 19, 2013

1Department of Internal Medicine, College of Medicine, Catholic University of Daegu, Korea

2Department of Internal Medicine, College of Medicine, Kosin University, Busan, Korea

Corresponding author: Eui Dal Jung, Department of internal Medicine, Catholic University of Daegu School of Medicine, 33 gil 17 Duryugongwon-ro, Nam-gu, Daegu, 705-718, Korea TEL: +82-53-650-4026 FAX: +82-53-651-4009 E-mail:
• Received: October 4, 2012   • Accepted: October 26, 2012

Copyright © 2013 Kosin University School of Medicine Proceedings

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Addison’s disease is a rare disorder that causes fatigue, genral weakness, weight loss, pigmentation due to adrenal hypofunction and it’s underlying causes are various. We report a case of 42-year-old man with fatigue, generalized cutaneous pigmentation. Computed tomography showed bilateral adrenal enlargement, but no calcification. Adrenal tuberculosis was established by ultrasound-guided fine needle aspiration biopsy.
Fig. 1.
Dynamic adrenal gland computed tomography. Both adrenal gland show nodular hyperplasia and enlargement. (A) pre-enhance phase, (B) arterial phase.
Fig. 2.
Skin punch biopsy. The melanocytes are mildly increased in number (HE stain, × 400).
Fig. 3.
Adrenal gland, Fine needle aspiration biopsy. There is a caseation necrosis which is suspicious of tuberculosis (HE stain, × 400).
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        A Case of Adrenal Tuberculosis with Atypical Clinical Manifestation
        Kosin Med J. 2013;28(2):183-186.   Published online January 19, 2013
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