Abstract：Objective: To study the clinical and CT characteristics of the patients with adrenal tuberculosis. Methods: The clinical data of 18 patients who were diagnosised as having adrenal tuberculosis from January 2012 through June 2015 in Department of Urology in People's Hospital of Xinjiang Uygur Autonomous Region were analyzed. There were 9 males and 9 females with an average age of 53.2 years old (22-72 years old). There were 14 cases of bilateral involvement, and 4 cases of unilateral. Results: The most common clinical manifestations were symptoms of adrenal cortex hypofunction: hyperpigmentation of skin (8 cases); weakness (8 cases); weight loss (6 cases). Ten (55.6%) cases had the manifestation of adrenal cortex hypofunction. There were 6 cases of extra adrenal involvements: 4 cases of pulmonary tuberculosis; 2 cases or renal tuberculosis. The most common imaging characteristics of CT were adrenal gland enlargement (13 cases); calcification (17 cases); mass change (7 cases); nodular change (4 cases). Conclusions: When the diagnosis of adrenal tuberculosis was made, bilateral involvements were seen usually. The most common clinical manifestations were symptoms of adrenal cortex hypofunction. The most common imaging characteristics of CT were calcification, adrenal gland enlargement, mass or nodular change.
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