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Autoimmune Adrenal Insufficiency Mimicking Bilateral Adrenal Metastases From Adenocarcinoma of the Lung on PET/CT.
MedLine Citation:
PMID:  21467871     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
A 49-year-old woman presented for investigation of a chronic cough. Computed tomography (CT) demonstrated a 12-mm diameter lobulated mass in the right middle lobe of the lung. There was no evidence of metastases on computed tomography and, particularly, no masses were demonstrated in the adrenal glands. Subsequent bronchoscopic biopsy demonstrated a poorly differentiated adenocarcinoma. A staging F-18 fluorodeoxyglucose positron emission tomography/computed tomography scan revealed uptake in the right middle lobe malignancy and in bilateral adrenal glands. Two weeks later the patient presented to hospital following a syncopal episode. Addison disease was subsequently diagnosed on the basis of hyponatremia, hyperkalemia, and positive antiadrenal antibodies.
Authors:
John K Blazak; Frank Fiumara
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical nuclear medicine     Volume:  36     ISSN:  1536-0229     ISO Abbreviation:  Clin Nucl Med     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-04-06     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7611109     Medline TA:  Clin Nucl Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  409-10     Citation Subset:  IM    
Affiliation:
From the Queensland PET Service, Royal Brisbane Hospital, Brisbane, Queensland, Australia.
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