Adrenal hemorrhage complicating ACTH therapy in Crohn's disease.
Huge dose ACTH therapy is used in some severely ill patients with inflammatory bowel disease. We report a teenage girl with Crohn's disease who developed an acute abdomen following ACTH therapy. CT revealed the mass to be a hemorrhagic adrenal gland; the opposite adrenal gland was hypertrophied but without signs of hemorrhage.
Levin
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Department of Radiology, Babies Hospital, Columbia-Presbyterian Medical Center, New York, NY 10032.
Morton
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D000307:Adrenal Gland Diseases / Q000139:chemically induced* / Q000000981:diagnostic imaging; D000311:Adrenal Glands / Q000473:pathology; D000324:Adrenocorticotropic Hormone / Q000008:administration & dosage / Q000009:adverse effects*; D000328:Adult; D003424:Crohn Disease / Q000188:drug therapy*; D005260:Female; D006470:Hemorrhage / Q000139:chemically induced* / Q000000981:diagnostic imaging; D006801:Humans; D006984:Hypertrophy; D007262:Infusions, Intravenous; D014057:Tomography, X-Ray Computed
D000324:Adrenocorticotropic Hormone