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Unusual Cause of Adrenal Insufficiency

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Presentation on theme: "Unusual Cause of Adrenal Insufficiency"— Presentation transcript:

1 Unusual Cause of Adrenal Insufficiency
Cherng Jye Seow, MBBS, MRCPS(Glas), FRCP(Edin), Abel Weiliang Chen, MBBS  The American Journal of Medicine  Volume 129, Issue 9, Pages e177-e179 (September 2016) DOI: /j.amjmed Copyright © 2016 Elsevier Inc. Terms and Conditions

2 Figure 1 Non-contrast-enhanced CT showing bilateral adrenal enlargement and hyperattenuation, consistent with acute hemorrhage. The American Journal of Medicine  , e177-e179DOI: ( /j.amjmed ) Copyright © 2016 Elsevier Inc. Terms and Conditions

3 Figure 2 (A) Magnetic resonance imaging of adrenal glands at presentation (before contrast). (B) Magnetic resonance imaging of adrenal glands at presentation (after contrast). The heterogeneous T1 hyperintense masses (2.0 × 3.9 cm on the right and 1.9 × 3.4 cm on the left, arrows) without central enhancement are indicative of hematomas. There is a smooth, thin rim enhancement consistent with a benign etiology. The American Journal of Medicine  , e177-e179DOI: ( /j.amjmed ) Copyright © 2016 Elsevier Inc. Terms and Conditions

4 Figure 3 Magnetic resonance imaging of adrenal glands at 6 months after diagnosis, showing marked reduction in size of adrenal hemorrhages. The American Journal of Medicine  , e177-e179DOI: ( /j.amjmed ) Copyright © 2016 Elsevier Inc. Terms and Conditions

5 Figure 4 Magnetic resonance imaging of adrenal glands at 20 months after diagnosis, showing complete resolution of adrenal hemorrhages. The American Journal of Medicine  , e177-e179DOI: ( /j.amjmed ) Copyright © 2016 Elsevier Inc. Terms and Conditions


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