Evidence map›Paper›PMID 39075959›Full record

ArticleEndocrine, metabolic & immune disorders drug targets2025

Diagnostic Role of Tomography in Addison's Disease due to Adrenal Tuberculosis: A Case Report.

Juan Eduardo Quiroz-Aldave, Maria Del Carmen Durand-Vásquez, Elman Rolando Gamarra-Osorio, Sara Elizabeth Zavaleta-Aldave, Alejandra Noemí Zavaleta-Aldave, Jorge Rodriguez-Reyna, Cyntia Mileini Quesquen-Garcia, Luis Alberto Concepcion-Urteaga, Samuel Pecho-Silva, Luis Alejandro Rodriguez-Hidalgo and 2 more

Abstract readCase Reports
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In one paragraph

Article in Endocrine, metabolic & immune disorders drug targets, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Juan Eduardo Quiroz-AldaveDivision of Non-communicable Diseases, Endocrinology Research Line, Hospital de Apoyo Chepén, Chepén, Perú.ORCID 0000-0001-8286-095X
Maria Del Carmen Durand-VásquezDivision of Non-communicable Diseases, Endocrinology Research Line, Hospital de Apoyo Chepén, Chepén, Perú.ORCID 0000-0001-7862-9333
Elman Rolando Gamarra-OsorioDivision of Endocrinology, Hospital Víctor Lazarte Echegaray, Trujillo, Perú.ORCID 0000-0003-3707-5340
Sara Elizabeth Zavaleta-AldaveDivision of Medicine, Centro de Salud Mental Comunitario "Flor de Loto", San Ignacio, Perú.ORCID 0009-0006-4131-3734
Alejandra Noemí Zavaleta-AldaveSchool of Medicine, Universidad Nacional de Cajamarca, Cajamarca, Perú.ORCID 0009-0008-0711-0233
Jorge Rodriguez-ReynaDivision of Imaging, Tomonorte. Trujillo, Perú.ORCID 0009-0004-3104-9891
Cyntia Mileini Quesquen-GarciaDivision of Public Health, Red Integrada de Salud Chepén, Chepén, Perú.ORCID 0000-0001-7084-6085
Luis Alberto Concepcion-UrteagaDivision of Pneumology, Hospital Regional Docente de Trujillo, Trujillo, Perú.ORCID 0000-0003-0462-3101
Samuel Pecho-SilvaCarrera de Medicina Humana, Universidad Científica del Sur, Lima, Perú.
Luis Alejandro Rodriguez-HidalgoDivision of Pneumology, Hospital Regional Docente de Trujillo, Trujillo, Perú.ORCID 0000-0001-9459-0707
Jose Paz-IbarraDepartment of Medicine, School of Medicine, Universidad Nacional Mayor de San Marcos, Lima, Peru.ORCID 0000-0002-2851-3727
Marcio Jose Concepcion-ZavaletaCarrera de Medicina Humana, Universidad Científica del Sur, Lima, Perú.ORCID 0000-0001-9719-1875

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAdrenal tuberculosis remains the main cause of primary adrenal insufficiency (PAI) in tuberculosis (TB)-prevalent regions. This case report details the presentation of PAI due to adrenal TB, where the etiological diagnosis involves Abdominal Computed Tomography (CT). CASE REPORT: A 37-year-old Peruvian woman with a history of TB contact displayed symptoms of adrenal insufficiency. PAI diagnosis was established, and CT imaging unveiled bilateral adrenal enlargement with calcifications. Treatment with prednisone and anti-TB therapy led to symptomatic improvement. Unfortunately, she succumbed to pneumonia after ten months of follow-up. DISCUSSION: Adrenal TB must be considered in endemic regions and in the presence of a TB history. CT serves as a valuable diagnostic tool, particularly in settings with limited resources, revealing adrenal enlargement and calcifications.

conclusionIn patients with PAI, epidemiological history of TB, and when a rapid biopsy is not feasible, CT proves to be a valuable diagnostic method.

Indexed as

Addison DiseaseAdrenal Gland DiseasesAdrenal GlandsTomography, X-Ray ComputedTuberculosis, EndocrineAdultAntitubercular AgentsFemaleHumansAntitubercular AgentsAddison’s diseaseadrenal gland neoplasmsanti-TB therapy.diagnostic imagingendocrine tuberculosisX-ray computed tomography

Identifiers

PMID39075959

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.