Addisonian crisis as the presenting feature of bilateral primary adrenal lymphoma.
The authors report a patient with a primary lymphoma of the adrenal glands presenting as acute adrenal failure. Fine-needle aspiration biopsy of the adrenal glands revealed a non-Hodgkin lymphoma of predominantly small cleaved cells and a low degree of malignancy. The absence of abnormal findings in clinical, bone marrow, and computed tomography scan examinations supports the diagnosis of primary non-Hodgkin lymphoma of the adrenal glands. Chemotherapy produced a complete functional recovery, and tumoral masses disappeared after the first three cycles of treatment.
Department of Internal Medicine, Hospital Comarcal del Noroeste, Caravaca, Murcia, Spain.
S
S
Serrano
L
L
Tejedor
B
B
Garcia
H
H
Hallal
J A
JA
Polo
G
G
Alguacil
D000224:Addison Disease / Q000175:diagnosis*; D000310:Adrenal Gland Neoplasms / Q000175:diagnosis* / Q000473:pathology; D000368:Aged; D003937:Diagnosis, Differential; D006801:Humans; D008228:Lymphoma, Non-Hodgkin / Q000175:diagnosis* / Q000473:pathology; D008297:Male