Addison病を併発した副腎原発悪性リンパ腫

書誌事項

タイトル別名
  • Bilateral non-Hodgkin's Lymphoma of the Adrenal Glands with Adrenal Insufficiency
  • Addisonビョウ オ ヘイハツシタ フクジン ゲンパツ アクセイ リンパシ

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抄録

A 66-year-old female presented with anorexia, fatigue, skin pigmentation, weight loss and low grade fever. Imaging studies demonstrated bilateral bulky masses confined to the adrenal glands. Ultrasonography guided needle biopsy of the mass showed findings of diffuse large B-sell lymphoma. Low levels of serum cortisol, urinary 17-OHCS and 17-KS, a high level of ACTH and a non-reactive pattern on the rapid ACTH test led to a diagnosis of Addison's disease. Only a partial regression was achieved by the first chemotherapy. She died due to disease progeression, while the next course of chemotherapy had been postponed because of interstitial pneumonitis due to methotrexate.

収録刊行物

  • 臨床血液

    臨床血液 37 (9), 867-869, 1996

    一般社団法人 日本血液学会

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