title: Bilateral adrenal hemorrhage: an overlooked cause of hypotension.
abstract: Bilateral adrenal hemorrhage resulting in acute adrenal insufficiency is a rare complication of anticoagulant therapy. We present the case of a patient who came to the Emergency Department with unsuspected adrenal insufficiency, followed by a second visit within 1 month with shock, to demonstrate the importance of early detection and treatment.
authors.affiliation: Division of Endocrinology, Diabetes and Metabolism, The University of Texas--Houston Medical School, Houston, Texas 77030, USA. picolos_endocrine@yahoo.com
authors.forename: Michalis K
authors.initials: MK
authors.lastname: Picolos
authors.forename: Ajay
authors.initials: A
authors.lastname: Nooka
authors.forename: Anu Bhalla
authors.initials: AB
authors.lastname: Davis
authors.forename: Bharat
authors.initials: B
authors.lastname: Raval
authors.forename: Philip R
authors.initials: PR
authors.lastname: Orlander
mesh_terms: D000307:Adrenal Gland Diseases / Q000139:chemically induced / Q000150:complications*; D000309:Adrenal Insufficiency / Q000209:etiology*; D000368:Aged; D000925:Anticoagulants / Q000009:adverse effects*; D006470:Hemorrhage / Q000139:chemically induced / Q000150:complications*; D006801:Humans; D007022:Hypotension / Q000188:drug therapy / Q000209:etiology*; D007668:Kidney / Q000473:pathology; D008297:Male; D014859:Warfarin / Q000009:adverse effects*
chemical_list: D000925:Anticoagulants; D014859:Warfarin