[Adrenal gland insufficiency associated with primary antiphospholipid syndrome]

A 32 year old man with previously generalized convulsive episodes developed after one acute infectious process multiple venous and arterial thrombosis and an acute adrenal insufficiency probably due to bilateral adrenal hemorrhage. The clinical picture was considered to be a primary antiphospholipid syndrome with positive IgG anticardiolipin antibodies, and was successfully managed with anticoagulants and steroids.