Louis A. VanderMolen, MD; John W. Smith II, MD; Dan L. Longo, MD; Ronald G. Steis, MD; Peter Kremers, MD; Mario Sznol, MD
To the Editor: Rao and colleagues (1) recently reviewed bilateral massive adrenal hemorrhage; however, its occurrence during interleukin-2 therapy has not been reported.
A 52-year-old man developed right flank pain in October 1987. He had a normal blood pressure without orthostatic changes. Cardiac, pulmonary, and neurologic examinations were normal. An abdominal computed tomographic (CT) scan revealed an 11.4 X 9.6 cm right renal mass with direct extension into the liver, ablation and involvement of the right adrenal gland, and metastasis to the left adrenal gland. Results of a routine biochemical profile, complete blood count, and differential cell count were normal.
Louis A. VanderMolen, John W. Smith, Dan L. Longo, Ronald G. Steis, Peter Kremers, Mario Sznol. Adrenal Insufficiency and Interleukin-2 Therapy. Ann Intern Med. 1989;111:185. doi: 10.7326/0003-4819-111-2-185_1
Download citation file:
Published: Ann Intern Med. 1989;111(2):185.
Copyright © 2017 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use