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Neonatal Adrenal Hemorrhage: A Case Series
Eleonora Tognato1, Simone Ceratto1,2, Giorgia Enrico1,2
1Division of Pediatrics and Neonatology, Department of Maternal Medicine, Nuovo Ospedale degli Infermi, Ponderano, Biella, Italy.
American Journal of Perinatology
|September 8, 2020
Summary
Neonatal adrenal hemorrhage (NAH) is a rare condition in newborns, often linked to perinatal asphyxia. This condition typically resolves on its own, as confirmed by ultrasound diagnosis and monitoring.
Area of Science:
- Neonatology
- Pediatric Radiology
Background:
- Neonatal adrenal hemorrhage (NAH) is a rare condition in newborns.
- It is associated with perinatal asphyxia and specific infant characteristics.
Observation:
- A case series of three full-term, macrosomic infants with NAH is presented.
- Two infants experienced birth asphyxia; one was asymptomatic.
- All cases involved the right adrenal gland, a common occurrence.
Findings:
- Ultrasound is the primary diagnostic tool for NAH.
- NAH is generally self-limiting, with resolution occurring over 3 to 6 months.
- Symptoms may include jaundice, abdominal mass, anemia, and lethargy.
Implications:
- Early diagnosis and monitoring via ultrasound are crucial for managing NAH.
- Understanding NAH's self-limiting nature aids in clinical management and parental counseling.
- Further research into risk factors and optimal management strategies is warranted.

