A Case Of Bilateral Adrenal Hemorrhage and Subsequent Adrenal Crisis due to Heparin-Induced Thrombocytopenia

Autor: Farah Naz Khan, MD, Maya Fayfman, MD, Stephen Brandt, MD, J. Sonya Haw, MD
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: AACE Clinical Case Reports, Vol 4, Iss 2, Pp 143-146 (2018)
Druh dokumentu: article
ISSN: 2376-0605
DOI: 10.4158/EP171891.CR
Popis: ABSTRACT: Objective: To discuss a case of adrenal insufficiency (AI) caused by heparin-induced thrombocytopenia (HIT) and subsequent adrenal hemorrhage.Methods: We describe the case of a patient who developed postoperative HIT, which went undetected until the patient presented with fulminant adrenal crisis. We provide here an overview of the work-up, diagnosis, and treatment of HIT-associated AI.Results: HIT is a rare cause of bilateral adrenal hemorrhage, and subsequent AI secondary to HIT is often clinically unsuspected until overt hemodynamic collapse occurs.Conclusions: Lack of early detection and appropriate treatment of HIT-induced AI can lead to significant patient morbidity and mortality. Awareness of this clinical condition is key to early recognition and treatment.Abbreviations: AI adrenal insufficiency CABG coronary artery bypass grafting CT computed tomography HIT heparin-induced thrombocytopenia
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