title: Vanishing tan and unfaithfulness.
abstract: Adrenal tuberculosis is a rare manifestation of active tuberculosis and is a difficult diagnosis to make if its presentation is sole manifestation of tuberculosis. We present an interesting case of a young male who presented only with symptoms of hyper pigmentation and was diagnosed as adrenal tuberculosis. Also, this report highlights the importance of drug interaction between antitubercular drug and steroid which lead to the deterioration in the early part of treatment and, later on was corrected by increasing the dose of steroids.
authors.affiliation: Department of Internal Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.
authors.forename: Jatinder K
authors.initials: JK
authors.lastname: Mokta
authors.affiliation: Department of General Surgery, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.
authors.forename: K S
authors.initials: KS
authors.lastname: Jaswal
authors.affiliation: Department of Microbiology, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.
authors.forename: Kiran K
authors.initials: KK
authors.lastname: Mokta
authors.affiliation: Department of Internal Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.
authors.forename: Prashant
authors.initials: P
authors.lastname: Panda
authors.affiliation: Department of Radiology, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.
authors.forename: D S
authors.initials: DS
authors.lastname: Dhiman
authors.affiliation: Department of Pathology, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.
authors.forename: S
authors.initials: S
authors.lastname: Sharma
authors.affiliation: Department of Radiology, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.
authors.forename: Vikas
authors.initials: V
authors.lastname: Bhatia
keywords: Anti-tubercular; adrenal tuberculosis; drug interaction; hyperpigmentation; steroids