肺结核病时肾上腺的干酪样肉芽肿性炎。过去肺结核是慢性肾上腺功能不全最常见的原因，现在特发性(可能与自身免疫有关) Addison 病是慢性肾上腺功能不全的更常见原因。
This is a caseating granuloma of tuberculosis in the adrenal gland. Tuberculosis used to be the most common cause of chronic adrenal insufficiency. Now, idiopathic (presumably autoimmune) Addison's disease is much more often the cause for chronic adrenal insufficiency.
