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Bilateral adrenal hemorrhage associated with heparin induced thrombocytopenia
Author(s) -
Kurtz Leon E.,
Yang Sarah
Publication year - 2007
Publication title -
american journal of hematology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.456
H-Index - 105
eISSN - 1096-8652
pISSN - 0361-8609
DOI - 10.1002/ajh.20884
Subject(s) - medicine , heparin induced thrombocytopenia , adrenal insufficiency , heparin , adrenal hemorrhage , abdominal pain , coagulopathy , surgery , acute abdominal pain
Heparin induced thrombocytopenia (HIT) is associated with serious and sometimes devastating thrombotic events. We report a case of bilateral adrenal hemorrhage (BAH) associated with HIT after prophylactic use of low molecular weight heparin. The vague presenting symptoms of acute adrenal insufficiency offers a diagnostic challenge, which if delayed may be life threatening. A high index of suspicion for adrenal hemorrhage is required in patients receiving any form of heparin therapy presenting with new onset thrombocytopenia, abdominal pain, and fevers. Am. J. Hematol., 2007. © 2007 Wiley‐Liss, Inc.