{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T12:54:07Z","timestamp":1779886447778,"version":"3.53.1"},"reference-count":12,"publisher":"Baishideng Publishing Group Inc.","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World J Clin Cases"],"abstract":"<jats:p>BACKGROUND<\/jats:p>\n          <jats:p>Addison\u2019s disease (AD) is a rare but potentially fatal disease in Western countries, which can easily be misdiagnosed at an early stage. Severe adrenal tuberculosis (TB) may lead to depression in patients.<\/jats:p>\n          <jats:p>CASE SUMMARY<\/jats:p>\n          <jats:p>We report a case of primary adrenal insufficiency secondary to adrenal TB with TB in the lungs and skin in a 48-year-old woman. The patient was misdiagnosed with depression because of her depressed mood. She had hyperpigmentation of the skin, nails, mouth, and lips. The final diagnosis was adrenal TB that resulted in the insufficient secretion of adrenocortical hormone. Adrenocortical hormone test, skin biopsy, T cell spot test of TB, and adrenal computed tomography scan were used to confirm the diagnosis. The patient\u2019s condition improved after hormone replacement therapy and TB treatment.<\/jats:p>\n          <jats:p>CONCLUSION<\/jats:p>\n          <jats:p>Given the current status of TB in high-burden countries, outpatient doctors should be aware of and pay attention to TB and understand the early symptoms of AD.<\/jats:p>","DOI":"10.12998\/wjcc.v12.i1.217","type":"journal-article","created":{"date-parts":[[2024,1,2]],"date-time":"2024-01-02T02:30:49Z","timestamp":1704162649000},"page":"217-223","source":"Crossref","is-referenced-by-count":2,"title":["Addison's disease caused by adrenal tuberculosis may lead to misdiagnosis of major depressive disorder: A case report"],"prefix":"10.12998","volume":"12","author":[{"given":"Tian-Xiang","family":"Zhang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong-Yan","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Ma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jian-Bao","family":"Zheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2060","published-online":{"date-parts":[[2024,1,6]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2015.08.021"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.12890\/2018_000911"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1016\/s0962-8479(05)80035-8"},{"key":"B4","unstructured":"World Health Organization. Global tuberculosis report 2021. Oct 14, 2021. [cited 31 January 2022]. Available from: https:\/\/www.who.int\/publications\/i\/item\/9789240037021"},{"key":"B5","unstructured":"On the Constitutional and Local Effects of Disease of the Supra-Renal Capsules. Br Foreign Med Chir Rev 1856; 18: 404-413"},{"key":"B6","unstructured":"Jacob JJ, Paul PAM.   Infections in Endocrinology: Tuberculosis. 2021 Mar 14. In: Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000\u2013"},{"key":"B7","unstructured":"Guttman P, Guttman PH, Guttman P. Addison's disease-a statistical analysis of 566 cases and a study of the pathology. Arch Pathol 1930; 10: 742-935"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1159\/000321239"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1530\/EJE-13-0756"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-1743523"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.48.1974"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(18)30613-3"}],"container-title":["World Journal of Clinical Cases"],"original-title":[],"link":[{"URL":"https:\/\/www.wjgnet.com\/2307-8960\/full\/v12\/i1\/217.htm","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.wjgnet.com\/2307-8960\/full\/v12\/i1\/217.htm","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,2]],"date-time":"2024-01-02T02:32:38Z","timestamp":1704162758000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.wjgnet.com\/2307-8960\/full\/v12\/i1\/217.htm"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,6]]},"references-count":12,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.12998\/wjcc.v12.i1.217","relation":{},"ISSN":["2307-8960"],"issn-type":[{"value":"2307-8960","type":"print"}],"subject":[],"published":{"date-parts":[[2024,1,6]]}}}