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- Leon E Kurtz and Sarah Yang.
- Department of Medicine, North Shore University Hospital, Manhasset, New York.
- Am. J. Hematol. 2007 Jun 1;82(6):493-4.
AbstractHeparin induced thrombocytopenia (HIT) is associated with serious and sometimes devastating thrombotic events. We report a case of bilateral adrenal hemorrhage (BAH) associated with HIT after prophylactic use of low molecular weight heparin. The vague presenting symptoms of acute adrenal insufficiency offers a diagnostic challenge, which if delayed may be life threatening. A high index of suspicion for adrenal hemorrhage is required in patients receiving any form of heparin therapy presenting with new onset thrombocytopenia, abdominal pain, and fevers.(c) 2007 Wiley-Liss, Inc.
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