1. The Vanishing Adrenal Glands: A Transient Regression of Adrenal Lymphoma After a Single Dose of 1 mg Dexamethasone
- Author
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Emma Hatfield, Hessa Boharoon, Shamaila Zaman, Sasha Marks, Ali Alsafi, Karim Meeran, Neelam Khalid, Neil E. Hill, and Rashpal Flora
- Subjects
medicine.medical_specialty ,Urology ,Case Report ,030209 endocrinology & metabolism ,Adrenocorticotropic hormone ,Normetanephrine ,Diseases of the endocrine glands. Clinical endocrinology ,PET, positron emission tomography ,Primary Adrenal Insufficiency ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Biopsy ,Adrenal insufficiency ,Medicine ,PAI, primary adrenal insufficiency ,adrenal cancer ,Dexamethasone ,medicine.diagnostic_test ,business.industry ,General Medicine ,Metanephrines ,RC648-665 ,medicine.disease ,CT, computed tomography ,ONDST, overnight dexamethasone suppression test ,adrenal ,chemistry ,030220 oncology & carcinogenesis ,ACTH, adrenocorticotropic hormone ,SST, short synacthen test ,adrenal insufficiency ,business ,13 Education ,DLBCL, diffuse large B-cell lymphoma ,Diffuse large B-cell lymphoma ,medicine.drug - Abstract
Objective: Dexamethasone is a known treatment for lymphoma, but the potency and rapidity of its effect have not been recognized. We present a case of bilateral adrenal lymphoma that significantly reduced in size after a single dose of dexamethasone. Methods: We present the clinical course and investigations, including adrenocorticotropic hormone, cortisol, short synacthen test, computed tomography (CT), and adrenal biopsy results. Results: A 52-year-old man had a fall and was incidentally found to have bilateral adrenal masses (left, 6 cm; right, 5 cm) on CT. His adrenal function tests included plasma metanephrines (normetanephrine, 830 pmol/L [normal
- Published
- 2021
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