Bilateral Adrenal Hemorrhage and Adrenal Insufficiency in the Context of Polycythemia Vera: A Case Report and Review of the Literature.

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL

Case Reports in Medicine Pub Date : 2022-06-22 eCollection Date: 2022-01-01 DOI:10.1155/2022/5335543

Sara Soltanmohammadi, Mehrbod Vakhshoori, Ghazaleh Sajadi, Maryam Heidarpour

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引用次数: 1

Abstract

Background: Polycythemia vera (PV) is a myeloproliferative disorder presented with different manifestations. However, bilateral adrenal hemorrhage (BAH) and adrenal insufficiency (AI) are rare manifestations. Herein, we described a patient who suffered from BAH and AI in the context of PV. Case Presentation. A 60-year-old man with an underlying history of PV was admitted with severe abdominal pain, nausea, and loss of consciousness. Primitive computed tomography (CT) scan findings revealed bilateral adrenal masses (right: 40 ∗ 23 mm, left: 60 ∗ 35 mm) with the second scan showing quite similar results (right adrenal: 40 ∗ 29 mm, left adrenal: 48 ∗ 26 mm) suggesting BAH. The further adrenal assessment proved concurrent AI. Both adrenal masses resolved completely after 15 months. However, the patient still suffered from AI.

Conclusion: BAH and AI in patients with PV should be considered rare complications requiring high clinical suspicion for early diagnosis and treatment to avoid life-threatening outcomes.

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真性红细胞增多症的双侧肾上腺出血和肾上腺功能不全:1例报告和文献复习。

背景:真性红细胞增多症(PV)是一种表现多样的骨髓增生性疾病。然而，双侧肾上腺出血(BAH)和肾上腺功能不全(AI)是罕见的表现。在此，我们描述了一位在PV背景下患有BAH和AI的患者。案例演示。60岁男性，既往有PV病史，因严重腹痛、恶心、意识丧失入院。原始计算机断层扫描(CT)显示双侧肾上腺肿块(右侧:40∗23 mm，左侧:60∗35 mm)，第二次扫描显示非常相似的结果(右侧肾上腺:40∗29 mm，左侧肾上腺:48∗26 mm)提示BAH。进一步的肾上腺评估证实并发AI。两个肾上腺肿块在15个月后完全消失。然而，患者仍然患有AI。结论:PV患者的BAH和AI应视为罕见的并发症，需要临床高度怀疑，早期诊断和治疗，以避免危及生命的结局。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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