• Rev Med Interne · Jul 2020

    Case Reports

    [Bilateral adrenal hemorrhage under apixaban in primary antiphospholipid syndrome].

    • V Lavoipierre, M Talbot, C Soubrier, B De Sainte Marie, V Seux, C Solas, P Morange, E Bernit, M Ebbo, B Faucher, J R Harlé, and N Schleinitz.
    • Service de médecine interne, CHU de Timone, Assistance Publique Hôpitaux de Marseille, Pr Jean-Robert Harlé, 13005 Marseille, France. Electronic address: virginielavoipierre@gmail.com.
    • Rev Med Interne. 2020 Jul 1; 41 (7): 489-492.

    IntroductionAdrenal hemorrhage is a classical but rare complication of antiphospholipid syndrome, revealing diagnosis in one third of the cases. Anti-vitamin K therapy is the standard treatment but direct oral anticoagulants are discussed as an alternative. In the latest recommendations, it is advised not to use direct oral anticoagulants in the setting of antiphospholipid syndrome.Case ReportWe present a case of bilateral adrenal hemorrhage revealing primary antiphospholipid syndrome with triple positive antibody profile, in a 47-year-old man treated by apixaban for previous venous thromboembolism.ConclusionTo our knowledge, it is the first case of adrenal hemorrhage occurring during apixaban treatment in a patient with antiphospholipid syndrome. This case illustrates the inefficacy of direct oral anticoagulants to prevent thrombotic events in antiphospholipid syndrome, in accordance with the latest recommendations.Copyright © 2019 Société Nationale Française de Médecine Interne (SNFMI). Published by Elsevier Masson SAS. All rights reserved.

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