Acute Spontaneous Bilateral Adrenal Hemorrhage Presenting as Hyponatremia.
| Autor: | Chippa VM; Internal Medicine, St Vincent medical center, Evansville, USA., Chenna S; Internal Medicine, Indiana University, Indianapolis, USA., Gujarathi R; Hospital Medicine, University of Florida Health, Jacksonville, USA., Candula N; Hospital Medicine, University of Florida College of Medicine, Jacksonville, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2022 Dec 28; Vol. 14 (12), pp. e33060. Date of Electronic Publication: 2022 Dec 28 (Print Publication: 2022). |
| DOI: | 10.7759/cureus.33060 |
| Abstrakt: | Bilateral adrenal hemorrhage is a very unusual cause of severe adrenal insufficiency and hyponatremia. It can result from trauma, infections, or antiphospholipid antibody syndrome and can be fatal if not diagnosed and treated early. Here, we present a 58-year-old Caucasian man with fatigue, altered sensorium, bradycardia, and hypotension. He denied any abdominal pain, recent trauma, or anti-platelet or anti-coagulation agents. His laboratory workup showed hyponatremia with low serum cortisol levels. He was further worked up and underwent computerized tomography (CT) of the abdomen, which showed bilateral adrenal hemorrhage. He was treated with intravenous (IV) steroids followed by oral hydrocortisone and fludrocortisone. His symptoms resolved, and he was safely discharged home. Asymptomatic bilateral adrenal hemorrhage is a sporadic disease, and it should be in the differential diagnosis for disproportionately sick people with other adrenal insufficiency features. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Chippa et al.) |
| Databáze: | MEDLINE |
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