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Case Reports
. 2017 Nov 16:2017:bcr2016219136.
doi: 10.1136/bcr-2016-219136.

Rare cause of adrenal insufficiency

Justin Ws Hii  1   2 , Michael M Page  3 , Andrew Wesseldine  1
Affiliations
Case Reports

Rare cause of adrenal insufficiency

Justin Ws Hii et al. BMJ Case Rep. .

Abstract

A 72-year-old man presented with weight loss, night sweats and haemoptysis and was hypotensive. CT imaging showed rapidly enlarging bilateral adrenal masses, and he was found to have primary adrenal insufficiency. An adrenal gland biopsy revealed the rare diagnosis of primary adrenal lymphoma. This unique case highlights possible rare causes of adrenal masses and adrenal insufficiency, their investigation and management principles.

Keywords: adrenal disorders; endocrinology; haematology (incl blood transfusion).

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Coronal CT images demonstrating left and right adrenal masses at initial presentation.
Figure 2
Figure 2
Coronal CT image demonstrating rapid increase in size of left and right adrenal masses.
Figure 3
Figure 3
FDG-PET scan indicating intensely avid uptake by both adrenal glands. FDG, fluorodeoxyglucose; PET, positron emission tomography.
See this image and copyright information in PMC

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References

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