Reversible Adrenal Insufficiency after Adrenal Hemorrhage
Authors: Marc A. Vengrove
Journal: Annals of Internal Medicine (1993)

Letters1 September 1993Reversible Adrenal Insufficiency after Adrenal HemorrhageMarc A. Vengrove, MD and Anthony Amoroso, MDMarc A. Vengrove, MDSearch for more papers by this author and Anthony Amoroso, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-119-5-199309010-00030 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Bilateral adrenal hemorrhage during pregnancy and puerperium has been associated with preeclampsia, sepsis, or blood transfusion reactions. We describe a patient with recurrent fetal loss and antiphospholipid antibodies in whom acute adrenal hemorrhage and adrenal insufficiency developed after an uncomplicated cesarean delivery. This is the second case in which a patient recovered adrenal function after hemorrhage.A 30-year-old woman with a history of one ectopic pregnancy and three spontaneous abortions had an uncomplicated cesarean delivery. She had no history or physical findings to suggest a connective tissue disorder. Eight days later, she was hospitalized with nausea, vomiting, ...References1. Feurstein B, Streeten D. Recovery of adrenal function after failure resulting from traumatic bilateral adrenal hemorrhages. Ann Intern Med. 1991; 115:785-6. Google Scholar2. Out H, De Groot P, Hasselaar P, Vliet M, Derksen R. Fluctuations of anticardiolipin antibody levels in patients with systemic lupus erythematosus: a prospective study. Ann Rheum Dis. 1989; 48:1023-8. Google Scholar3. Walz B, Kong HH, Silver R. Adrenal failure and the primary antiphospholipid syndrome. J Rheumatol. 1990; 17:836-7. Google Scholar4. Asherson R, Hughs G. Recurrent deep vein thrombosis and Addison's disease in primary antiphospholipid syndrome. J Rheumatol. 1989; 16:378-80. Google Scholar5. Rao RH, Vagnucci AH, Amico JA. Bilateral massive adrenal hemorrhage: early recognition and treatment. Ann Intern Med. 1989; 110: 227-9. Google Scholar Author, Article, and Disclosure InformationAuthors: Marc A. Vengrove, MD; Anthony Amoroso, MDAffiliations: PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byAdrenal hemorrhage following direct oral anticoagulant (DOAC) therapy: two case reports and literature reviewAcute Nonhemorrhagic Adrenal Infarction in Pregnancy: 10-Year MRI Incidence and Patient Outcomes at a Single InstitutionAcute adrenal insufficiency due to adrenal hemorrhage complicating colorectal surgery: Report of two cases and correlation with the antiphospholipid antibody syndromeAdrenal insufficiency in pregnancy: challenging issues in diagnosis and managementPrimary Adrenal Insufficiency Due to Bilateral Adrenal Hemorrhage-Adrenal Infarction in the Antiphospholipid Syndrome: Long-Term Outcome of 16 PatientsNécrose des surrénales maternelles au troisième trimestre de la grossesse dans le cadre d’un syndrome des antiphospholipides : à propos d’un casAdrenal Disorders in PregnancyThe Hypothalamic-Pituitary-Adrenal Axis in Pregnancy: Challenges in Disease Detection and TreatmentAdrenal Insufficiency Attributable to Adrenal Hemorrhage: Long-Term Follow-Up with Reference to Glucocorticoid and Mineralocorticoid Function and ReplacementAdrenal Involvement in the Antiphospholipid SyndromeAdrenal Insufficiency in a Patient with Severe Hypotension Caused by Bilateral Adrenal HemorrhageCatastrophic Antiphospholipid SyndromeAdrenal insufficiency in the antiphospholipidantibody syndromeTreatment of the antiphospholipid syndromeBilateral massive adrenal hemorrhage 1 September 1993Volume 119, Issue 5Page: 439KeywordsAdrenocorticotropic hormoneAntibodiesAnticoagulantsAntiphospholipid syndromeCortisolHemorrhageMedical risk factorsPregnancySepsisVomiting ePublished: 15 August 2000 Issue Published: 1 September 1993 Copyright & PermissionsCopyright © 1993 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...