Diagnostic Role of Tomography in Addison's Disease due to Adrenal Tuberculosis: A Case Report.

• Autores: Quiroz-Aldave, J.E., Durand-Vásquez, M., Gamarra-Osorio, E.R., Zavaleta-Aldave, S.E., Zavaleta-Aldave, A.N., Rodríguez-Reyna, J., Quesquén-García, C.M., Concepción-Urteaga, L.A., Pecho-Silva, S., Rodríguez-Hidalgo, L.A., Paz-Ibarra, J., Concepción-Zavaleta, M.J.
• Formato: artículo
• Fecha de Publicación: 2025
• Institución: Universidad Nacional de Cajamarca
• Repositorio: UNC-Institucional
• Lenguaje: inglés
• OAI Identifier: oai:repositorio.unc.edu.pe:20.500.14074/9913
• Enlace del recurso: http://hdl.handle.net/20.500.14074/9913; https://doi.org/10.2174/0118715303305534240709115115
• Nivel de acceso: acceso abierto
• Materia: Addison’s disease; adrenal gland neoplasms; endocrine tuberculosis; diagnostic imaging; X-ray computed tomography; anti-TB therapy; https://purl.org/pe-repo/ocde/ford#3.02.18

Introduction Adrenal tuberculosis remains the main cause of primary adrenal insufficiency (PAI) in tuberculosis (TB)-prevalent regions. This case report details the presentation of PAI due to adrenal TB, where the etiological diagnosis involves Abdominal Computed Tomography (CT). Case Report A 37-year-old Peruvian woman with a history of TB contact displayed symptoms of adrenal insufficiency. PAI diagnosis was established, and CT imaging unveiled bilateral adrenal enlargement with calcifications. Treatment with prednisone and anti-TB therapy led to symptomatic improvement. Unfortunately, she succumbed to pneumonia after ten months of follow-up. Discussion Adrenal TB must be considered in endemic regions and in the presence of a TB history. CT serves as a valuable diagnostic tool, particularly in settings with limited resources, revealing adrenal enlargement and calcifications. Conclusion In patients with PAI, epidemiological history of TB, and when a rapid biopsy is not feasible, CT proves to be a valuable diagnostic method.