Addisonian pigmentation of tubercular etiology-A case report

---

Case Report

Author Details : Vijayalakshmi L.*, Revathy M.

Volume : 4, Issue : 4, Year : 2018

Article Page : 350-352

https://doi.org/10.18231/2581-4729.2018.0073

Suggest article by email

Get Permission

---

Abstract

Addisonian pigmentation is defined as hyperpigmentation of both exposed and unexposed parts of the body and it typically occurs in primary adrenal insufficiency.
We hereby report a case of a 15 year old boy who presented with progressive hyperpigmentation of the face, trunk, chest, abdomen and extremities which was more accentuated over the sun exposed areas. He also had` pigmentation of nails, oral and genital mucosa, palms and soles with accentuation over palmar creases. Routine blood investigations were found to be normal. His serum electrolytes showed hyponatremia and hyperkalemia with evidence of hypocortisolemia and` increased serum ACTH. Chest x-ray was suggestive of pulmonary tuberculosis, sputum AFB was positive and Mantoux reaction was strongly positive. CT scan showed bilateral adrenal calcification. All these investigations confirmed primary adrenal insufficiency due to tuberculosis and ATT was initiated along with steroid replacement therapy.

Keywords: Addisonian pigmentation, ACTH, hyperpigmentation.

How to cite : Vijayalakshmi L., Revathy M., Addisonian pigmentation of tubercular etiology-A case report. IP Indian J Clin Exp Dermatol 2018;4(4):350-352

This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.