Bilateral adrenal hemorrhage in essential thrombocythemia

K. Kojima, N. Fujii, S. Takata, T. Tezen, T. Morikawa, K. Kaneda, K. Takenaka, T. Itoshima, M. Tanimoto

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7 Citations (Scopus)

Abstract

A 67-year-old woman with previously untreated essential thrombocythemia developed bilateral adrenal hemorrhage. She had no known vascular risk factors including smoking, diabetes mellitus, hypertension, and hypercholesterolemia. Her platelet count was 921×109/l. She received preemptive steroid therapy to prevent the occurrence of adrenal crisis, but 5 weeks later the replacement therapy was discontinued because the patient fully recovered with a normal adrenocorticotropic hormone stimulation test. Thereafter, she remained well for more than 4 years with a platelet count ranging from 600 to 800×109/l. Although adrenal hemorrhage is very rare, it can occur as a hemorrhagic complication of essential thrombocythemia.

Original languageEnglish
Pages (from-to)350-351
Number of pages2
JournalAnnals of Hematology
Volume81
Issue number6
DOIs
Publication statusPublished - Dec 1 2002

Keywords

  • Adrenal hemorrhage
  • Adrenal insufficiency
  • Chronic myeloproliferative disorders
  • Essential thrombocythemia

ASJC Scopus subject areas

  • Hematology

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    Kojima, K., Fujii, N., Takata, S., Tezen, T., Morikawa, T., Kaneda, K., Takenaka, K., Itoshima, T., & Tanimoto, M. (2002). Bilateral adrenal hemorrhage in essential thrombocythemia. Annals of Hematology, 81(6), 350-351. https://doi.org/10.1007/s00277-002-0468-1