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: [email protected]

Abakumova A.A. — Head of Department of Endocrinology, tel. +7-927-243-57-72, e-mail: [email protected]

Bareeva L.T. — Head of Department of Endocrinology, tel. +7-917-913-53-32, e-mail: [email protected]

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

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