title: [Acute Addisonian crisis in a patient with systemic lupus erythematosus and secondary antiphospholipid syndrome].
abstract: This article describes a 57-year-old woman with SLE and positive antiphospholipid and lupus anticoagulant antibodies (Ig type M) who developed an acute Addisonian crisis due to bilateral adrenal haemorrhage. It is important to recognise that bilateral adrenal haemorrhage can be part of the thrombo-embolic complications that are seen in both the primary and the secondary APS. Since there have been a number of similar cases, we suggest that APS with adrenal haemorrhage should be taken into consideration in SLE patients with abdominal pain, fever, nausea, hypotension and hyponatremia.
authors.affiliation: Nordsjaellands Hospital i Hillerød, Endokrinologisk Klinik E, Medicinsk Funktionsenhed 1. annasvarre@stud.ku.dk
authors.forename: Anna Svarre
authors.initials: AS
authors.lastname: Jakobsen
authors.forename: Veronica Basile
authors.initials: VB
authors.lastname: Cvitanich
authors.forename: Bent Carsten
authors.initials: BC
authors.lastname: Kirkegaard
mesh_terms: D000208:Acute Disease; D000224:Addison Disease / Q000175:diagnosis / Q000209:etiology*; D000307:Adrenal Gland Diseases / Q000175:diagnosis / Q000209:etiology*; D016736:Antiphospholipid Syndrome / Q000150:complications*; D005260:Female; D006470:Hemorrhage / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D008875:Middle Aged; D014057:Tomography, X-Ray Computed