title: [Acute adrenal insufficiency due to bilateral adrenal hematoma following severe thrombopenia induced by low-molecular-weight heparin].
abstract: BACKGROUND
  Bilateral adrenal hematoma is an uncommon cause of acute adrenal insufficiency. An association with thrombopenia induced by low-molecular-weight heparin even more so. Diagnosis is difficult as the clinical manifestations mimic septic shock.
  
  
  METHODS
  A 63-year-old woman developed acute adrenal insufficiency due to bilateral adrenal hematoma following severe thrombopenia induced by low-molecular-weight heparin prescribed after an orthopedic operation. Outcome was favorable.
  
  
  CONCLUSIONS
  Acute adrenal insufficiency must be entertained as a possible diagnosis in patients with heparin-induced thrombopenia.
authors.affiliation: Service de Réanimation médicale A, Hôpital tripode, Bordeaux.
authors.forename: O
authors.initials: O
authors.lastname: Caubet
authors.forename: O
authors.initials: O
authors.lastname: Pillet
authors.forename: A
authors.initials: A
authors.lastname: Cherifi
authors.forename: T
authors.initials: T
authors.lastname: Mayet
authors.forename: Y
authors.initials: Y
authors.lastname: Castaing
authors.forename: J C
authors.initials: JC
authors.lastname: Favarel Garrigues
mesh_terms: D000208:Acute Disease; D000309:Adrenal Insufficiency / Q000209:etiology*; D000925:Anticoagulants / Q000009:adverse effects*; D005260:Female; D006406:Hematoma / Q000209:etiology*; D006495:Heparin, Low-Molecular-Weight / Q000009:adverse effects*; D006801:Humans; D008875:Middle Aged; D013921:Thrombocytopenia / Q000139:chemically induced*
chemical_list: D000925:Anticoagulants; D006495:Heparin, Low-Molecular-Weight
vernacular_title: Insuffisance surrénalienne aiguë par hématome surrénalien bilatéral au décours d'une thrombopénie sévère induite par une héparine de bas poids moléculaire.