Adrenal histoplasmosis

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Q. Which of the following statements is correct regarding adrenal histoplasmosis:

a) In active disease, calcification is commonly seen

b) Lymphadenopathy is not seen

c) The adrenal glands are usually symmetrically enlarged

d) Adrenal insufficiency is uncommon

ANSWER:

Answer : C - The adrenal glands are usually symmetrically enlarged
Points to remember :
Patient is usually asymptomatic
Bilateral symmetrical enlargement of the adrenals
Calcification is rare
Shape of the gland is preserved
Cases may present with adrenal insufficiency
Diagnosis is by CT scan and CT directed biopsy

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