An Unusual Case of Adrenal Hemorrhage
Adrenal hemorrhage is an uncommon diagnosis, with nonspecific clinical findings. It can present with elevated blood pressure and arrhythmia in the setting of elevated catecholamine levels. Although overproduction from an adrenal mass such as pheochromocytomas is typically suspected, severe physiolog...
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| Format: | Article |
| Language: | English |
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American College of Physicians
2025-01-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2023.1400 |
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| author | Thayse Lozovoy Madsen-Barbosa Fidini Hayati Antoni Adline Ghazi |
| author_facet | Thayse Lozovoy Madsen-Barbosa Fidini Hayati Antoni Adline Ghazi |
| author_sort | Thayse Lozovoy Madsen-Barbosa |
| collection | DOAJ |
| description | Adrenal hemorrhage is an uncommon diagnosis, with nonspecific clinical findings. It can present with elevated blood pressure and arrhythmia in the setting of elevated catecholamine levels. Although overproduction from an adrenal mass such as pheochromocytomas is typically suspected, severe physiologic stress is also associated with increased catecholamine release. This report details a case of acute clinical deterioration and biochemical evidence of marked excess of catecholamines in a patient with unilateral adrenal hemorrhage. Initial suspicion was high for a hemorrhagic pheochromocytoma. However, follow-up evaluation revealed resolution of the hemorrhagic collection, evidence of an adrenal mass, and normalization of catecholamine levels. |
| format | Article |
| id | doaj-art-26134954ef8247e8a141ffdbd0758691 |
| institution | DOAJ |
| issn | 2767-7664 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | American College of Physicians |
| record_format | Article |
| series | Annals of Internal Medicine: Clinical Cases |
| spelling | doaj-art-26134954ef8247e8a141ffdbd07586912025-08-20T03:18:48ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642025-01-014110.7326/aimcc.2023.1400An Unusual Case of Adrenal HemorrhageThayse Lozovoy Madsen-Barbosa0Fidini Hayati Antoni1Adline Ghazi21Department of Internal Medicine, Medstar Health Union Memorial Hospital, Baltimore, Maryland1Department of Internal Medicine, Medstar Health Union Memorial Hospital, Baltimore, Maryland2Division of Endocrinology and Metabolism, Medstar Franklin Square Medical Center, Baltimore, MarylandAdrenal hemorrhage is an uncommon diagnosis, with nonspecific clinical findings. It can present with elevated blood pressure and arrhythmia in the setting of elevated catecholamine levels. Although overproduction from an adrenal mass such as pheochromocytomas is typically suspected, severe physiologic stress is also associated with increased catecholamine release. This report details a case of acute clinical deterioration and biochemical evidence of marked excess of catecholamines in a patient with unilateral adrenal hemorrhage. Initial suspicion was high for a hemorrhagic pheochromocytoma. However, follow-up evaluation revealed resolution of the hemorrhagic collection, evidence of an adrenal mass, and normalization of catecholamine levels.https://www.acpjournals.org/doi/10.7326/aimcc.2023.1400 |
| spellingShingle | Thayse Lozovoy Madsen-Barbosa Fidini Hayati Antoni Adline Ghazi An Unusual Case of Adrenal Hemorrhage Annals of Internal Medicine: Clinical Cases |
| title | An Unusual Case of Adrenal Hemorrhage |
| title_full | An Unusual Case of Adrenal Hemorrhage |
| title_fullStr | An Unusual Case of Adrenal Hemorrhage |
| title_full_unstemmed | An Unusual Case of Adrenal Hemorrhage |
| title_short | An Unusual Case of Adrenal Hemorrhage |
| title_sort | unusual case of adrenal hemorrhage |
| url | https://www.acpjournals.org/doi/10.7326/aimcc.2023.1400 |
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