Addison's Disease Caused by Tuberculosis with Atypical Hyperpigmentation and Active Pulmonary Tuberculosis

Hiroki Namikawa; Yasuhiko Takemoto; Shigeto Kainuma; Sakurako Umeda; Ayako Makuuchi; Kazuo Fukumoto; Masanori Kobayashi; Shigeki Kinuhata; Yoshihiro Isaka; Hiromitsu Toyoda; Noriko Kamata; Yoshihiro Tochino; Yoshikazu Hiura; Mina Morimura; Taichi Shuto

doi:10.2169/internalmedicine.56.7976

CASE REPORTS

Addison's Disease Caused by Tuberculosis with Atypical Hyperpigmentation and Active Pulmonary Tuberculosis

Hiroki Namikawa, Yasuhiko Takemoto, Shigeto Kainuma, Sakurako Umeda, Ayako Makuuchi, Kazuo Fukumoto, Masanori Kobayashi, Shigeki Kinuhata, Yoshihiro Isaka, Hiromitsu Toyoda, Noriko Kamata, Yoshihiro Tochino, Yoshikazu Hiura, Mina Morimura, Taichi Shuto

著者情報

Hiroki Namikawa
Department of Medical Education and General Practice, Osaka City University, Graduate School of Medicine, Japan
Yasuhiko Takemoto
Department of Medical Education and General Practice, Osaka City University, Graduate School of Medicine, Japan
Shigeto Kainuma
Department of Medical Education and General Practice, Osaka City University, Graduate School of Medicine, Japan
Sakurako Umeda
Department of Medical Education and General Practice, Osaka City University, Graduate School of Medicine, Japan
Ayako Makuuchi
Department of Medical Education and General Practice, Osaka City University, Graduate School of Medicine, Japan
Kazuo Fukumoto
Department of Medical Education and General Practice, Osaka City University, Graduate School of Medicine, Japan
Masanori Kobayashi
Department of Medical Education and General Practice, Osaka City University, Graduate School of Medicine, Japan
Shigeki Kinuhata
Department of Medical Education and General Practice, Osaka City University, Graduate School of Medicine, Japan
Yoshihiro Isaka
Department of Diabetes, Osaka City Juso Hospital, Japan
Hiromitsu Toyoda
Department of Medical Education and General Practice, Osaka City University, Graduate School of Medicine, Japan
Noriko Kamata
Department of Medical Education and General Practice, Osaka City University, Graduate School of Medicine, Japan
Yoshihiro Tochino
Department of Medical Education and General Practice, Osaka City University, Graduate School of Medicine, Japan
Yoshikazu Hiura
Department of Diabetes, Osaka City Juso Hospital, Japan
Mina Morimura
Department of Medical Education and General Practice, Osaka City University, Graduate School of Medicine, Japan
Taichi Shuto
Department of Medical Education and General Practice, Osaka City University, Graduate School of Medicine, Japan

キーワード: Addison's disease, adrenal insufficiency, pulmonary tuberculosis, active tuberculosis, hyperpigmentation, freckles

ジャーナルオープンアクセス

2017 年 56 巻 14 号 p. 1843-1847

DOI https://doi.org/10.2169/internalmedicine.56.7976

詳細

抄録

We herein report a case of Addison's disease caused by tuberculosis characterized by atypical hyperpigmentation, noted as exacerbation of the pigmentation of freckles and the occurrence of new freckles, that was diagnosed in the presence of active pulmonary tuberculosis. The clinical condition of the patient was markedly ameliorated by the administration of hydrocortisone and anti-tuberculosis agents. When exacerbation of the pigmentation of the freckles and/or the occurrence of new freckles are noted, Addison's disease should be considered as part of the differential diagnosis. In addition, the presence of active tuberculosis needs to be assumed whenever we treat patients with Addison's disease caused by tuberculosis, despite its rarity.

責任著者(Corresponding author)

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