Adrenal Hemorrhage Causing Adrenal Insufficiency in a Patient with Antiphospholipid Syndrome: Increased Adrenal 18F-FDG Uptake

摘要

APS) and a history of recurrent thrombo- embolic events was admitted with hematothorax while on acenocoumarol. Recovery was complicated by car- diac arrest and hypotension requiring resuscitation. She subsequently developed fever and abdominal distress coincided by hyponatremia, hyperkalemia, and eosin- ophilia. An insufficient rise in serum cortisol after syn- thetic ACTH (20 nmol/liter maximally), together with an undetectable aldosterone and elevated ACTH (278 ng/liter) confirmed primary adrenal insufficiency. Glu- cocorticoid and mineralocorticoid administration im- proved her condition. Antiadrenal antibodies were ab- sent. Plasma metanephrines were normal.