Respiratory infection
What key finding discarded the tuberculosis diagnosis?
negative IGRA
Which famous doctor did we feature in our presentation?
YOU GOT THE JOKE QUESTION (worth no points)
Dr Gregory House
What was the classification of Addison's disease seen in our patient?
Primary
What finding confirmed the MAC diagnosis?
Tissue biopsy showing MAC organisms (granulomas with acid-fast bacilli)
What was the final diagnosis?
MAC Lung Disease and resulting primary Addison's disease
(and the previously diagnosed type 1 diabetes)
What hormone is the one responsible for the electrolyte imbalance?
Aldosterone
Which of the diseases in differential diagnosis were supported by the finding of miliary pattern on the chest Xray?
All three of them (tuberculosis, histoplasmosis, MAC)
What previously diagnosed illness did the patient have that made her more susceptible to infection?
type 1 diabetes
What hormone alteration caused the hyperpigmentation?
Increased ACTH