Abstract：
A woman in her 40s presented with a history of fatigue, symptoms of light-headedness on getting up from a sitting position and hyperpigmentation of the skin and mucous membranes. During the evaluation, she was diagnosed with primary adrenal insufficiency. Radiological imaging and microbiological evidence revealed features of disseminated tuberculosis involving the lungs and the adrenals. She was found to have an HIV infection. This patient was prescribed glucocorticoid and mineralocorticoid replacement therapy and was administered antituberculous and antiretroviral treatment.
摘要：
一个40多岁的女人有疲劳史，从坐姿起身时头晕的症状以及皮肤和粘膜的色素沉着过度。在评估过程中,她被诊断为原发性肾上腺功能不全.放射学成像和微生物学证据揭示了涉及肺和肾上腺的播散性结核病的特征。她被发现感染了艾滋病毒。该患者接受糖皮质激素和盐皮质激素替代疗法，并接受抗结核和抗逆转录病毒治疗。
