{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T15:33:40Z","timestamp":1782747220663,"version":"3.54.5"},"reference-count":9,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2020,12,1]],"date-time":"2020-12-01T00:00:00Z","timestamp":1606780800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81670717"],"award-info":[{"award-number":["81670717"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:p>We report a case of primary adrenal insufficiency (PAI) due to adrenal tuberculosis with no findings of active tuberculosis in the lung of a 51-year-old female patient. The patient was admitted with a 10-year history of skin hyperpigmentation and was diagnosed with PAI. The primary cause was adrenal tuberculosis. An adrenocorticotropic hormone stimulation test, T-Spot test and adrenal computed tomography scan were used to confirm the diagnosis. The patient\u2019s status improved, and the hyperpigmentation subsided after 15 months of treatment with anti-tuberculosis drugs and cortisol replacement therapy.<\/jats:p>","DOI":"10.1177\/0300060520980590","type":"journal-article","created":{"date-parts":[[2020,12,24]],"date-time":"2020-12-24T01:51:26Z","timestamp":1608774686000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Primary adrenal insufficiency due to adrenal tuberculosis: a case report"],"prefix":"10.1177","volume":"48","author":[{"given":"Jie","family":"Yu","sequence":"first","affiliation":[{"name":"Department of Endocrinology, Shanghai Ninth People\u2019s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yingli","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Shanghai Ninth People\u2019s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bing","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Shanghai Ninth People\u2019s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,12,23]]},"reference":[{"key":"bibr1-0300060520980590","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2015.08.021"},{"key":"bibr2-0300060520980590","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.02403-07"},{"key":"bibr3-0300060520980590","doi-asserted-by":"publisher","DOI":"10.5588\/ijtld.11.0829"},{"key":"bibr4-0300060520980590","doi-asserted-by":"publisher","DOI":"10.1016\/j.jiac.2017.10.009"},{"key":"bibr5-0300060520980590","doi-asserted-by":"publisher","DOI":"10.1177\/0300060518757381"},{"key":"bibr6-0300060520980590","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-019-4597-8"},{"key":"bibr7-0300060520980590","unstructured":"World Health Organization. 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