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.


Glucose Sodium Potassium
A Low High Low
B High High Low
C High Low HIgh
D Low Low High