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Rare disease
CASE REPORT
Rare cause of adrenal insufficiency
  1. Justin WS Hii1,2,
  2. Michael M Page3,
  3. Andrew Wesseldine1
  1. 1Department of Geriatrics and General Medicine, St John of God Hospital, Subiaco, Western Australia, Australia
  2. 2Department of Anaesthesia and Pain Medicine, Fiona Stanley Hospital, Murdoch, Western Australia, Australia
  3. 3Department of Clinical Biochemistry, PathWest, Fiona Stanley Hospital, Murdoch, Western Australia, Australia
  1. Correspondence to Dr Justin WS Hii, justinwhii{at}gmail.com

Summary

A 72-year-old man presented with weight loss, night sweats and haemoptysis and was hypotensive. CT imaging showed rapidly enlarging bilateral adrenal masses, and he was found to have primary adrenal insufficiency. An adrenal gland biopsy revealed the rare diagnosis of primary adrenal lymphoma. This unique case highlights possible rare causes of adrenal masses and adrenal insufficiency, their investigation and management principles.

  • adrenal disorders
  • endocrinology
  • haematology (incl blood transfusion)

https://doi.org/10.1136/bcr-2016-219136

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    Footnotes

    • Contributors JWSH wrote the first draft. MMP edited the manuscript and contributed to the investigations section. AW supervised authorship, reviewed and edited the manuscript.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.