著者

佐々木 結花 山岸 文雄 鈴木 公典 宮澤 裕 杉戸 一寿 庵原 昭一

出版者

THE JAPANESE SOCIETY FOR TB AND NTM

雑誌

結核 (ISSN:00229776)

巻号頁・発行日

vol.68, no.11, pp.695-698, 1993-11-15 (Released:2011-05-24)

参考文献数

5

被引用文献数

1

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We reported a case of Addison's disease, caused by adrenal tuberculosis. The patient was female, seventy four years old. She complained cough and body weight loss. She complained cough from June, 1989, but her home doctor didn't take care of her symptoms. September 1989, she felt appetite loss, and easy fatigue, so her home doctor suspected her disease as pulmonary tuberculosis, so he introduced our hospital, and she admitted. When she admitted, her chest roentogenogram revealed bII12. Sputum smear examinations were negative. Laboratory datas on admission, we observed slightry eosinophilia, severe iron deficiency anemia, and accenturation of blood sedimentation rate. Immediately after admission, she complained nausea, vomiting, coldness, and powerless. On 25 days after admission, she lost her senses suddenly, and her blood pressure fell 5 days after, she fell in shock state, too. We found out her blood sugar data was 29. After blood examinations, we found out that ACTH was high, cortisole, 17KS, 17-OHCS were low. So we thought she got acute hypoadrenocorticism. We found her abdominal CT revealed calcification in her right adrenal gland. We diagnosed her disease as Addison's disease caused by adrenal tuberculosis so we began to give prednisolone, 7.5mg per day. After giving, her state made better. We thought her disease as Addison's disease caused by adrenal tuberculosis, revealed acute hypoadrenocorticism.

著者

佐々木 結花 山岸 文雄 鈴木 公典 宮澤 裕 杉戸 一寿 河端 美則

出版者

日本肺癌学会

雑誌

肺癌 (ISSN:03869628)

巻号頁・発行日

vol.33, no.7, pp.1065-1069, 1993-12-20

被引用文献数

3

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肺転移にて発見された後腹膜原発絨毛癌の一例を経験したので報告する.症例は24歳男性.主訴は血痰で, 精査目的にて当院に入院した.胸部エックス線所見上, 両側肺野に多発した結節影および両側胸水を認めた.外性器に異常所見は認められなかった.腹部CT写真にて後腹膜に腫瘤を認め, 泌尿器科にて腎腫瘍が疑われたが, 検査拒否にて組織型を決定できず, 呼吸状態が急激に増悪し, 呼吸不全にて死亡した.剖検にて, 両側肺を多発した腫瘤がしめ, また, 後腹膜に腫瘤が存在し, その一部は下大静脈壁内腔に浸潤していた.同腫瘤, 肺転移巣の両者の病理組織より, 絨毛癌の診断が得られ, 免疫組織学的検索で胞体がhCG陽性であることが確認された.生殖器には原発巣は認めず, 後腹膜原発絨毛癌と考えられ, きわめて稀な症例と考えられ報告した.