Goldfarb A, Olewniczak G, Boudailliez B, Lenaerts C, Risbourg B, Piussan C
Pediatrie. 1983 Oct-Nov;38(7):479-83.
Bilateral adrenal haemorrhage was diagnosed in 3 newborns. Clinical, biological and hormonal features were different in each case: abdominal mass in the first case; hyponatremic dehydration for the two others. This hyponatremic dehydration was related to temporary acute adrenal insufficiency for one newborn while association with medullary necrosis did not allow to assert hypoadrenalism for the other. These three cases emphasize: 1) variability of presentation at onset; 2) heterogeneousness of salt loose syndrome; 3) interest of systematic renal and adrenal exploration in adrenal haemorrhage.
3例新生儿被诊断为双侧肾上腺出血。每例的临床、生物学和激素特征各不相同：第一例表现为腹部肿块；另外两例为低钠血症性脱水。其中1例新生儿的低钠血症性脱水与暂时性急性肾上腺功能不全有关，而另一例因合并髓质坏死无法确诊肾上腺功能减退。这3例病例强调了：1）发病时表现的变异性；2）失盐综合征的异质性；3）肾上腺出血时系统进行肾脏和肾上腺检查的重要性。
