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Bilateral adrenal hemorrhage associated with heparin induced thrombocytopenia

Leon E Kurtz1, Sarah Yang

  • 1Department of Medicine, North Shore University Hospital, Manhasset, New York.

American Journal of Hematology
|February 3, 2007
PubMed

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.

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