Endocrine organ failure due to systemic AA-amyloidosis.
We describe a patient with panhypopituitarism and adrenal insufficiency associated with systemic AA-amyloidosis caused by tuberculosis. This case demonstrates the ongoing process of amyloidosis, despite a presumed cure for the tuberculosis more than 30 years previously. Difficulties in recognizing clinical symptoms and interpreting laboratory data in a patient on regular haemodialysis are discussed.
Erdkamp
F L
FL
Department of Internal Medicine, Catharina Hospital, Eindhoven, The Netherlands.
Gans
R O
RO
Hoorntje
S J
SJ
D000309:Adrenal Insufficiency / Q000209:etiology* / Q000473:pathology; D000686:Amyloidosis / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D006801:Humans; D007018:Hypopituitarism / Q000209:etiology* / Q000473:pathology; D007676:Kidney Failure, Chronic / Q000209:etiology* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D014397:Tuberculosis, Pulmonary / Q000150:complications* / Q000473:pathology