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  • Primary adrenal insufficiency. Сlinical event

    Редакция | 2015, Practical medicine 04 (15) Innovative technologies in medicine. Part 2 | 15 июня, 2015

    T.A. KISELEVA1, A.A. ABAKUMOVA2, L.T. BAREEVA3

    1Kazan State Medical University, 49 Butlerov St., Kazan, Russian Federation, 420012

    2Republic Clinical Hospital № 2 of the MH of RT, 1a Chekhova St., Kazan, Russian Federation, 420043

    3Republic Clinical Hospital of the MH of RT, 138 Orenburgskiy Tract, Kazan, Russian Federation, 420064

    Kiseleva T.A. — Cand. Med. Sc., Associate Professor of the Department of Hospital Therapy with course of endocrinology, tel. +7-917-390-88-99, e-mail: tattiana@mail.ru

    Abakumova A.A. — Head of Department of Endocrinology, tel. +7-927-243-57-72, e-mail: a_anutik@bk.ru

    Bareeva L.T. — Head of Department of Endocrinology, tel. +7-917-913-53-32, e-mail: luizabar@yandex.ru

    The adrenal insufficiency etiology could be unclear in some patients. The presented clinical case describes a situation where the clinical data, laboratory and instrumental methods of research were not enough for the correct etiology determination, and a histological examination required for the correct diagnosis. The absence of primary tuberculous lesion in the lungs could not exclude tuberculous etiology of adrenal insufficiency.

    Key words: adrenal insufficiency, Addison’s disease, cortisol, adrenal tuberculosis, arterial hypotension.

     

     

    REFERENCES

    1. Kronenberg G.M. et al. Zabolevaniya kory nadpochechnikov i endokrinnaya arterial’naya gipertenziya: per. s angl. pod red. I.I. Dedova i G.A. Mel’nichenko [Diseases of the adrenal cortex and endocrine hypertension. Transl from English. Ed. by I.I. Dedov and G.A. Melnichenko]. Moscow: GEOTAR-Media, 2010. 208 p.
    2. Dedov I.I., Mel’nichenko G.A., Fadeev V.V. Endokrinologiya. 2-e izd., pererab. i dop. [Endocrinology. 2nd ed., Rev. and add.]. Moscow: GEOTAR-Media, 2012. 432 p.
    3. Fadeev V.V. Nadpochechnikovaya nedostatochnost’ (klinika, diagnostika, lechenie). Rekomendatsii dlya vrachey [Adrenal insufficiency (clinical features, diagnosis, treatment). Recommendations for physicians]. Moscow: MEDPRAKTIKA-M, 2008. Pp. 12-36.

    Метки: A.A. ABAKUMOVA, Addison's disease, adrenal insufficiency, adrenal tuberculosis, arterial hypotension, cortisol, L.T. BAREEVA, Practical medicine 04 (15) Innovative technologies in medicine. Part 2, T.A. KISELEVA

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