Bilateral adrenal bleeding: the cause of high early jaundice and acute primary adrenal insufficiency in the neonate

Adrenal bleeding in a newborn is rare. The cause of bleeding is unknown, most likely due to several factors. Bleeding may be minimal with no clinical signs or fulminant with acute adrenal insufficiency, which is a life-threatening situation that requires immediate detection and treatment. In this pa...

Full description

Saved in:
Bibliographic Details
Published in:Zdravniški vestnik (Ljubljana, Slovenia : 1992) Slovenia : 1992), 2018-04, Vol.87 (3-4)
Main Authors: Petja Fister, Marta Žnidaršič Eržen, Primož Kotnik, Mojca Tomažič
Format: Article
Language:English
Subjects:
akutna primarna insuficienca
krvavitev
nadledvičnica
novorojenček
zlatenica
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Adrenal bleeding in a newborn is rare. The cause of bleeding is unknown, most likely due to several factors. Bleeding may be minimal with no clinical signs or fulminant with acute adrenal insufficiency, which is a life-threatening situation that requires immediate detection and treatment. In this paper we represent a clinical case of a term neonate born to the mother with gestational diabetes, who was hospitalised due to high early hyperbilirubinemia. Significant bleeding in both adrenal glands was identified by ultrasound and primary adrenal insufficiency diagnosed. We discuss possible causes, the diagnostic clues, the treatment of disease and its prognosis.
ISSN:1318-0347
1581-0224
DOI:10.6016/ZdravVestn.2614