Gummatous syphilis of the adrenal gland.

Abstract:

:A 55-year-old man with no relevant history was analyzed for weight loss, night sweats, and left upper quadrant pain. An abdominal ultrasound and CT scan were performed, revealing a lobulated rim-enhancing mass in the left adrenal gland. Further analysis by an F-FDG PET/CT scan demonstrated high uptake in the periphery of the adrenal lesion with central photopenia. Because a primary malignancy was suspected, an adrenalectomy was performed. Histopathology, however, revealed a necrotizing granulomatous infection. Serum was tested positive for syphilis and Treponema pallidum infection. Results of additional HIV tests were negative. The adrenal tumor proved to be an expression of gummatous syphilis.

journal_name

Clin Nucl Med

authors

Scheurkogel MM,Tim J,Jeurissen FJ,Quarles van Ufford HM

doi

10.1097/RLU.0b013e318262adf1

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

e231-3

issue

9

eissn

0363-9762

issn

1536-0229

pii

00003072-201209000-00037

journal_volume

37

pub_type

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