Autopsy Findings of Addison's Disease Caused by Systemic Cytomegalovirus Infection in a Patient with Acquired Immunodeficiency Syndrome.
1995; The Japanese Society of Internal Medicine; Volume: 34; Issue: 6 Linguagem: Inglês
10.2169/internalmedicine.34.533
ISSN1349-7235
AutoresAkiko TAKASAWA, Isao Morimoto, Atsushi Wake, Joji Haratake, Koichi Fujii, Yohsuke Okada, S. Oda, Hiroshi Hashimoto, Sumiya Eto,
Tópico(s)Hematological disorders and diagnostics
ResumoWe previously reported a case of Addison's disease associated with acquired immunodeficiency syndrome (AIDS) (Endocr J, 41: 13, 1994). A 46-year-old man with hemophilia B and AIDS was diagnosed as Addison's disease. The positive cytomegalovirus (CMV) antigen in urine suggested that CMV adrenalitis may have caused the adrenal insufficiency. Despite treatment with ganciclovir, the patient died one year later. Autopsy findings revealed that the typical inclusions of CMV were seen in the lung, adrenal glands (both cortex and medulla) and small intestine. Here, we describe the subsequent clinical course and postmortem findings of this case.(Internal Medicine 34: 533-536, 1995)
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