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Adrenal Insufficiency Secondary to Adrenal HemorrhageTwo Case Reports and a Review of Cases Confirmed by Computed Tomography
Philip J. Dahlberg, MD;
Mark H. Goellner, MD;
Gregory B. Pehling, MD
Arch Intern Med. 1990;150(4):905-909.
Abstract
• We report two cases of adrenal hemorrhage and review 17 others that were confirmed by hormone measurements and computed tomography. Precipitating factors included heparin therapy, surgery, hypotension, and sepsis. Heparin-associated thrombocytopenia may be an underappreciated cause of adrenal hemorrhage. Despite the availability of computed tomography, adrenal hemorrhage mimics many other diseases, and an early diagnosis remains difficult.
(Arch Intern Med. 1990:150:905-909)
Author Affiliations
From the Department of Internal Medicine, Gundersen Clinic, Ltd, La Crosse, Wis (Drs Dahlberg and Pehling), and the Department of Internal Medicine, The Duluth (Minn) Clinic (Dr Goellner).
Footnotes
Accepted for publication June 19,1989.
Reprint requests to Gundersen Clinic, Ltd, 1836 South Ave, La Crosse, WI 54601 (Dr Dahlberg).
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