[Hypercalcemia in Addison's disease caused by bilateral adrenal hemorrhage]

The case is reported of a 36-year-old woman presenting with progressive hypercalcemia which led to the diagnosis of adrenocortical insufficiency of recent origin. Adrenal failure developed soon after septic shocks in this heparin anticoagulated patient post leg amputation for Buerger's disease. The clinical, biological and radiological (CT scan) data are consistent with bilateral adrenal hemorrhage as the cause of primary adrenal insufficiency. The pathogenesis of hypercalcemia in this condition is discussed.