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World J Radiol. Oct 28, 2015; 7(10): 336-342
Published online Oct 28, 2015. doi: 10.4329/wjr.v7.i10.336
Evaluation of primary adrenal insufficiency secondary to tuberculous adrenalitis with computed tomography and magnetic resonance imaging: Current status
Yu-Cheng Huang, Yu-Lian Tang, Xiao-Ming Zhang, Nan-Lin Zeng, Rui Li, Tian-Wu Chen
Yu-Cheng Huang, Yu-Lian Tang, Xiao-Ming Zhang, Nan-Lin Zeng, Rui Li, Tian-Wu Chen, Sichuan Key Laboratory of Medical Imaging, Department of Radiology, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, Sichuan Province, China
Author contributions: Huang YC and Chen TW wrote the paper; Tang YL, Zhang XM, Zeng NL and Li R performed the collected the data.
Conflict-of-interest statement: Authors declare no conflicts of interest for this article.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Tian-Wu Chen, MD, Sichuan Key Laboratory of Medical Imaging, Department of Radiology, Affiliated Hospital of North Sichuan Medical College, 63# Wenhua Road, Nanchong 637000, Sichuan Province, China. tianwuchen_nsmc@163.com
Telephone: +86-817-2262236 Fax: +86-817-2222856
Received: April 12, 2015
Peer-review started: April 13, 2015
First decision: August 15, 2015
Revised: August 25, 2015
Accepted: September 10, 2015
Article in press: September 16, 2015
Published online: October 28, 2015
Processing time: 197 Days and 18.5 Hours
Abstract

As one kind of infectious diseases of adrenal gland, adrenal tuberculosis can result in a life-threatening disorder which is called primary adrenal insufficiency (PAI) due to the destruction of adrenal cortex. Computed tomography (CT) and magnetic resonance imaging (MRI) play significant roles in the diagnosis of this etiology of PAI based on the CT and MRI appearances of the adrenal lesions. In this mini-review, we intend to study the CT and MRI features of adrenal tuberculosis, which could be helpful to both endocrinologist and radiologist to establish a definitive diagnosis for adrenal tuberculosis resulting in PAI.

Keywords: Primary adrenal insufficiency; Tuberculosis; Adrenalitis; Computed tomography; Magnetic resonance imaging

Core tip: Adrenal tuberculosis is an important cause of the primary adrenal insufficiency (PAI) due to the destruction of adrenal cortex. Computed tomography (CT) and magnetic resonance imaging (MRI) play vital roles in the diagnosis of this etiology of PAI based on the CT and MRI appearances of the adrenal lesions. We herein discuss the CT and MRI technique, manifestations, the role of CT and MRI in a definitive diagnosis for adrenal tuberculosis resulting in PAI.