Bilateral adrenal bleeding: the cause of high early jaundice and acute primary adrenal insufficiency in the neonate

Autor: Petja Fister, Marta Žnidaršič Eržen, Primož Kotnik, Mojca Tomažič
Jazyk: English<br />Slovenian
Rok vydání: 2018
Předmět:
Zdroj: Zdravniški Vestnik, Vol 87, Iss 3-4 (2018)
Druh dokumentu: article
ISSN: 1318-0347
1581-0224
DOI: 10.6016/ZdravVestn.2614
Popis: Adrenal bleeding in a newborn is rare. The cause of bleeding is unknown, most likely due to several factors. Bleeding may be minimal with no clinical signs or fulminant with acute adrenal insufficiency, which is a life-threatening situation that requires immediate detection and treatment. In this paper we represent a clinical case of a term neonate born to the mother with gestational diabetes, who was hospitalised due to high early hyperbilirubinemia. Significant bleeding in both adrenal glands was identified by ultrasound and primary adrenal insufficiency diagnosed. We discuss possible causes, the diagnostic clues, the treatment of disease and its prognosis.
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