Bilateral adrenal hemorrhage: an overlooked cause of hypotension.
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.
Picolos
Michalis K
MK
Division of Endocrinology, Diabetes and Metabolism, The University of Texas--Houston Medical School, Houston, Texas 77030, USA. picolos_endocrine@yahoo.com
Nooka
Ajay
A
Davis
Anu Bhalla
AB
Raval
Bharat
B
Orlander
Philip R
PR
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*
D000925:Anticoagulants; D014859:Warfarin