title: [Bilateral adrenal hemorrhage with adrenal insufficiency in the framework of primary antiphospholipid antibody syndrome].
abstract: We report a case of acute adrenal insufficiency in a context of probable bilateral adrenal haemorrhage, as revealed by CT-scan in a 52-year-old woman with a history of spontaneous abortion and repeated ischaemic stroke without symptoms or signs of collagen vascular disease. The symptoms began after the patient had successfully been treated for pneumonia. She had persistently high titres of IgG anticardiolipin antibodies, antibodies against beta 2-glycoprotein I and a lupus anticoagulant. The diagnosis of primary antiphospholipid syndrome with adrenal insufficiency was postulated.
authors.affiliation: Ospedale Regionale La Carità, Locarno.
authors.forename: H
authors.initials: H
authors.lastname: Stricker
authors.forename: F
authors.initials: F
authors.lastname: Bertini
authors.forename: G
authors.initials: G
authors.lastname: Mombelli
mesh_terms: D000307:Adrenal Gland Diseases / Q000150:complications* / Q000175:diagnosis* / Q000000981:diagnostic imaging; D000309:Adrenal Insufficiency / Q000150:complications*; D017153:Antibodies, Anticardiolipin / Q000097:blood; D016736:Antiphospholipid Syndrome / Q000150:complications* / Q000276:immunology; D001323:Autoantibodies / Q000097:blood; D005260:Female; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D007074:Immunoglobulin G / Q000097:blood; D008875:Middle Aged; D011014:Pneumonia / Q000150:complications / Q000628:therapy; D014057:Tomography, X-Ray Computed
chemical_list: D017153:Antibodies, Anticardiolipin; D001323:Autoantibodies; D007074:Immunoglobulin G