A CASE OF DISSEMINATED TUBERCULOSIS PRESENTING AS ADDISON'S DISEASE

The term Addison's disease is now used to refer to all forms of chronic primary adrenocortical insufficiency. Autoimmune adrenalitis is the most common cause of adrenal insufficiency in the developed countries tuberculosis is still a common cause in the developing world. We report a case of a young male who presented with low grade fever, generalised hyperpigmentation, fatigue, headache, giddiness, postural hypotension, papilledema and proximal myopathy. A clinical diagnosis of Addison's disease was made which was confirmed by ACTH stimulation test. MRI brain revealed multiple tuberculomata and CT abdomen revealed lesions in the adrenal gland. The patient was put on steroids and category 1 ATT. The patient responded to treatment.