Primary adrenal lymphoma as a cause of adrenal insufficiency, a report of two cases

Primary adrenal lymphoma (PAL) is a rare cause of adrenal insufficiency. More than 90% is of B-cell origin. The condition is bilateral in up to 75% of cases, with adrenal insufficiency in two of three patients. We report two cases of adrenal insufficiency presenting at the age of 70 and 79 years,...

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Main Authors: Kaja Grønning, Archana Sharma, Maria Adele Mastroianni, Bo Daniel Karlsson, Eystein S Husebye, Kristian Løvås, Ingrid Nermoen
Format: Article
Language:English
Published: Bioscientifica 2020-03-01
Series:Endocrinology, Diabetes & Metabolism Case Reports
Online Access:https://edm.bioscientifica.com/view/journals/edm/2020/1/EDM19-0131.xml
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spelling doaj-a601422f66bf4a5f8a15f7c08021a0802020-11-25T02:51:31ZengBioscientificaEndocrinology, Diabetes & Metabolism Case Reports2052-05732052-05732020-03-01111510.1530/EDM-19-0131Primary adrenal lymphoma as a cause of adrenal insufficiency, a report of two casesKaja Grønning0Archana Sharma1Maria Adele Mastroianni2Bo Daniel Karlsson3Eystein S Husebye4Kristian Løvås5Ingrid Nermoen6Department of Endocrinology, Akershus University Hospital, Lorenskog, NorwayDepartment of Endocrinology, Akershus University Hospital, Lorenskog, NorwayDepartment of Haematology, Akershus University Hospital, Lorenskog, NorwayDepartment of Radiology, Akershus University Hospital, Lorenskog, NorwayDepartment of Clinical Science and K.G. Jebsen Center of Autoimmune Disorders, University of Bergen, Bergen, Norway; Department of Medicine, Haukeland University Hospital, Bergen, NorwayDepartment of Clinical Science and K.G. Jebsen Center of Autoimmune Disorders, University of Bergen, Bergen, Norway; Department of Medicine, Haukeland University Hospital, Bergen, NorwayDepartment of Endocrinology, Akershus University Hospital, Lorenskog, Norway; Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway Primary adrenal lymphoma (PAL) is a rare cause of adrenal insufficiency. More than 90% is of B-cell origin. The condition is bilateral in up to 75% of cases, with adrenal insufficiency in two of three patients. We report two cases of adrenal insufficiency presenting at the age of 70 and 79 years, respectively. Both patients had negative 21-hydroxylase antibodies with bilateral adrenal lesions on CT. Biopsy showed B-cell lymphoma. One of the patients experienced intermittent disease regression on replacement dosage of glucocorticoids.https://edm.bioscientifica.com/view/journals/edm/2020/1/EDM19-0131.xml
collection DOAJ
language English
format Article
sources DOAJ
author Kaja Grønning
Archana Sharma
Maria Adele Mastroianni
Bo Daniel Karlsson
Eystein S Husebye
Kristian Løvås
Ingrid Nermoen
spellingShingle Kaja Grønning
Archana Sharma
Maria Adele Mastroianni
Bo Daniel Karlsson
Eystein S Husebye
Kristian Løvås
Ingrid Nermoen
Primary adrenal lymphoma as a cause of adrenal insufficiency, a report of two cases
Endocrinology, Diabetes & Metabolism Case Reports
author_facet Kaja Grønning
Archana Sharma
Maria Adele Mastroianni
Bo Daniel Karlsson
Eystein S Husebye
Kristian Løvås
Ingrid Nermoen
author_sort Kaja Grønning
title Primary adrenal lymphoma as a cause of adrenal insufficiency, a report of two cases
title_short Primary adrenal lymphoma as a cause of adrenal insufficiency, a report of two cases
title_full Primary adrenal lymphoma as a cause of adrenal insufficiency, a report of two cases
title_fullStr Primary adrenal lymphoma as a cause of adrenal insufficiency, a report of two cases
title_full_unstemmed Primary adrenal lymphoma as a cause of adrenal insufficiency, a report of two cases
title_sort primary adrenal lymphoma as a cause of adrenal insufficiency, a report of two cases
publisher Bioscientifica
series Endocrinology, Diabetes & Metabolism Case Reports
issn 2052-0573
2052-0573
publishDate 2020-03-01
description Primary adrenal lymphoma (PAL) is a rare cause of adrenal insufficiency. More than 90% is of B-cell origin. The condition is bilateral in up to 75% of cases, with adrenal insufficiency in two of three patients. We report two cases of adrenal insufficiency presenting at the age of 70 and 79 years, respectively. Both patients had negative 21-hydroxylase antibodies with bilateral adrenal lesions on CT. Biopsy showed B-cell lymphoma. One of the patients experienced intermittent disease regression on replacement dosage of glucocorticoids.
url https://edm.bioscientifica.com/view/journals/edm/2020/1/EDM19-0131.xml
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AT bodanielkarlsson primaryadrenallymphomaasacauseofadrenalinsufficiencyareportoftwocases
AT eysteinshusebye primaryadrenallymphomaasacauseofadrenalinsufficiencyareportoftwocases
AT kristianløvas primaryadrenallymphomaasacauseofadrenalinsufficiencyareportoftwocases
AT ingridnermoen primaryadrenallymphomaasacauseofadrenalinsufficiencyareportoftwocases
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