[Bilateral adrenal hemorrhage revealing hyperhomocysteinemia].
作者信息
Luwawu Mbimba M, Monier A, Tchanou C, Bernard L, Vincent Dejean C
机构信息
Service de médecine A, hôpital Louis-Pasteur, hôpitaux de Chartres, 4, rue Claude-Bernard, 28630 Le Coudray, France.
Service de médecine A, hôpital Louis-Pasteur, hôpitaux de Chartres, 4, rue Claude-Bernard, 28630 Le Coudray, France.
出版信息
Rev Med Interne. 2014 Oct;35(10):680-2. doi: 10.1016/j.revmed.2013.07.007. Epub 2013 Aug 27.
INTRODUCTION
Bilateral adrenal hemorrhage remains a rare disease. It has several etiologies, and clinical presentation is not specific.
CASE REPORT
We report a 45-year old man without known prothrombotic factor who presented with acute left sided abdominal pain left revealing a bilateral adrenal hemorrhage. The diagnostic work-up identified a significant hyperhomocysteinemia associated with a previously undiagnosed homozygous mutation of the 5,10 methylene-tetrahydrofolate reductase gene. The outcome was associated with the occurrence of an adrenal insufficiency.
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