scholarly journals Acute adrenal insufficiency as a first presentation of myelodysplastic syndrome and sigmoid colon adenocarcinoma: a case report

2014 ◽  
Vol 2014 (5) ◽  
pp. 89-92 ◽  
Author(s):  
A. Kleanthous ◽  
E. Koushiappi ◽  
Y. Herodotou ◽  
E. Xenofontos ◽  
E. Vounou
Keyword(s):  
Case Report ◽  
Myelodysplastic Syndrome ◽  
Adrenal Insufficiency ◽  
Sigmoid Colon ◽  
Colon Adenocarcinoma ◽  
Acute Adrenal Insufficiency

scholarly journals Primary adrenal insufficiency due to bilateral adrenal infarction in COVID-19: a case report

2021 ◽  
Author(s):  
Iza F R Machado ◽  
Isabel Q Menezes ◽  
Sabrina R Figueiredo ◽  
Fernando Morbeck Almeida Coelho ◽  
Debora R B Terrabuio ◽  
...  
Keyword(s):  
Case Report ◽  
Adrenal Insufficiency ◽  
Antiphospholipid Syndrome ◽  
Antiphospholipid Antibodies ◽  
Case Reports ◽  
Serum Cortisol ◽  
Primary Adrenal Insufficiency ◽  
Acute Adrenal Insufficiency ◽  
Adrenal Infarction ◽  
New Onset

Abstract Context Coronavirus disease 2019 (COVID-19) is a proinflammatory and prothrombotic condition, but its impact on adrenal function has not been adequately evaluated. Case report A 46-year-old woman presented with abdominal pain, hypotension, skin hyperpigmentation after COVID-19 infection. The patient had hyponatremia, serum cortisol <1.0 ug/dL, ACTH of 807 pg/mL and aldosterone <3 ng/dL. Computed tomography (CT) findings of adrenal enlargement with no parenchymal and minimal peripheral capsular enhancement after contrast were consistent with bilateral adrenal infarction. The patient had autoimmune hepatitis and positive antiphospholipid antibodies, but no previous thrombotic events. The patient was treated with intravenous hydrocortisone, followed by oral hydrocortisone and fludrocortisone. Discussion Among 115 articles, we identified nine articles, including case reports, of new-onset adrenal insufficiency and/or adrenal hemorrhage/infarction on CT in COVID-19. Adrenal insufficiency was hormonally diagnosed in five cases, but ACTH levels were measured in only three cases (high in one case and normal/low in other two cases). Bilateral adrenal non- or hemorrhagic infarction was identified in five reports (two had adrenal insufficiency, two had normal cortisol levels and one case had no data). Interestingly, the only case with well-characterized new-onset acute primary adrenal insufficiency after COVID-19 had a previous diagnosis of antiphospholipid syndrome. In our case, antiphospholipid syndrome diagnosis was established only after the adrenal infarction triggered by COVID-19. Conclusions Our findings support the association between bilateral adrenal infarction and antiphospholipid syndrome triggered by COVID-19. Therefore, patients with positive antiphospholipid antibodies should be closely monitored for symptoms or signs of acute adrenal insufficiency during COVID-19.

scholarly journals Metachronous metastasis to inguinal lymph nodes from sigmoid colon adenocarcinoma with abdominal wall metastasis: a case report

BMC Cancer ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Taro Tanabe ◽  
Dai Shida ◽  
Shunsuke Tsukamoto ◽  
Goki Morizono ◽  
Hirokazu Taniguchi ◽  
...  
Keyword(s):  
Case Report ◽  
Lymph Nodes ◽  
Abdominal Wall ◽  
Sigmoid Colon ◽  
Colon Adenocarcinoma ◽  
Metachronous Metastasis ◽  
Inguinal Lymph Nodes ◽  
Abdominal Wall Metastasis

Acute Adrenal Insufficiency Mimicking Septic Shock: A Case Report

1988 ◽  
Vol 8 (1) ◽  
pp. 69-71 ◽  
Author(s):  
Michael J. Melby ◽  
Kerry Bergman ◽  
Tammy Ramos ◽  
Randolph Reinhold ◽  
William Mackey
Keyword(s):  
Septic Shock ◽  
Case Report ◽  
Adrenal Insufficiency ◽  
Acute Adrenal Insufficiency

scholarly journals Hyoid Bone and Thyroid Cartilage Metastases from Sigmoid Colon Adenocarcinoma: A Case Report

2017 ◽  
Vol 34 (3) ◽  
pp. 278-280 ◽  
Author(s):  
Djurdja Bracanovic ◽  
Vesna Vukovic ◽  
Aleksa Janovic ◽  
Davorin Radosavljevic ◽  
Zoran Rakocevic
Keyword(s):  
Case Report ◽  
Sigmoid Colon ◽  
Hyoid Bone ◽  
Thyroid Cartilage ◽  
Colon Adenocarcinoma

scholarly journals Adrenal Tuberculosis Leading to Acute Adrenal Insufficiency

2021 ◽  
Vol 11 (6) ◽  
pp. 148-151
Author(s):  
Nitu Sharma ◽  
Yashika Bhatia
Keyword(s):  
Case Report ◽  
Infectious Diseases ◽  
Adrenal Insufficiency ◽  
Acute Gastroenteritis ◽  
Primary Infection ◽  
Unusual Case ◽  
Primary Adrenal Insufficiency ◽  
Death Case ◽  
Acute Adrenal Insufficiency ◽  
Adrenal Deficiency

Background: Tuberculosis is the ‘world’s largest killer’ amongst infectious diseases overtaking HIV in 2014. Tuberculosis can affect the kidneys and adrenals as either primary infection or secondary dissemination from other organs. Tuberculosis in adrenals manifests in the acute phase leading to primary adrenal insufficiency, which is generally catastrophic leading to death. Case Report: We present an unusual case of a 42 years’ old man, presented & managed as a case of acute gastroenteritis. Patient had a fulminant course and succumbed to his illness. Autopsy revealed Bilateral Adrenal Tuberculosis. Conclusion: Adrenal tuberculosis has the potential of causing acute adrenal deficiency leading to Addisonian crisis and consequent mortality. Key words: Adrenal tuberculosis, Addisonian crisis, acute adrenal insufficiency.

scholarly journals Acute Adrenal Insufficiency after Appendectomy—A Case Report—

2021 ◽  
Vol 82 (6) ◽  
pp. 1142-1147
Author(s):  
Yuka OISHI ◽  
Hitoshi SEKIDO ◽  
Goro MATSUDA ◽  
Tetsuya SHIMIZU ◽  
Jun KIMURA ◽  
...  
Keyword(s):  
Case Report ◽  
Adrenal Insufficiency ◽  
Acute Adrenal Insufficiency
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