GEORGE E. LEONE, B.S., M.D.
Hemorrhage into the suprarenals is a rare occurrence which usually results fatally and is difficult to recognize. The diagnosis is rarely made until after autopsy. Suprarenal hemorrhages have been more frequently observed in the newborn and in young children. The degree of hemorrhage varies from small petechial areas in the suprarenal glands to massive hemorrhages with extensive destruction of suprarenal tissue. These conditions have been described in the literature as acute hemorrhagic adrenalitis, Waterhouse-Friderichsen syndrome, spontaneous suprarenal hemorrhage and suprarenal apoplexy.
The cause and origin of the hemorrhage into the suprarenals are not definitely known. In considering the etiology, one
LEONE GE. SPONTANEOUS HEMORRHAGE INTO THE SUPRARENALS (SUPRARENAL APOPLEXY)(SPONTANEOUS HEMORRHAGE INTO THE SUPRARENALS (SUPRARENAL APOPLEXY)*). Ann Intern Med. 1941;14:2137–2142. doi: 10.7326/0003-4819-14-11-2137
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Published: Ann Intern Med. 1941;14(11):2137-2142.
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