Primary Adrenal Insufficiency Due to Bilateral Adrenal Hematomas in a Patient with Primary Antiphospholipid Syndrome

• Published in: Chinese medical journal Vol. 130; no. 20; pp. 2517 - 2518
• Main Authors: Chu, Xue-Ying, Zhang, Lu, Yang, Xiao-Xi, Zhu, Tie-Nan
• Format: Journal Article
• Language: English
• Published: China Medknow Publications and Media Pvt. Ltd 20.10.2017; Lippincott Williams & Wilkins Ovid Technologies; Department of Endocrinology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China%Department of Hematology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China; Medknow Publications & Media Pvt Ltd; Wolters Kluwer
• Subjects: Adrenal glands; Anticoagulants; Autoimmune diseases; Consent; Correspondence; Hematology; Hormone replacement therapy; Hospitals; Immunoglobulins; Kidneys; Laboratories; Lupus; Patients; Pulmonary arteries; Rheumatic diseases; Thrombosis; Urinary tract infections; Urine; 原发性; 患者; 活化部分凝血活酶时间; 磷脂; 综合征; 肾上腺; 血栓形成; 血肿; @@
• ISSN: 0366-6999; 2542-5641
• DOI: 10.4103/0366-6999.216410

To the Editor： In 2016, a 35-year-old Chinese man was admitted to our hospital who had experienced multiple thromboses for 9 years, severe fatigue, and oliguria for a total of 3 weeks. The patient had been diagnosed with pulmonary embolism and multiple deep vein thromboses at a local hospital 9 years ago. The patient was prescribed warfarin, and the international normalized ratio （INR） was maintained between 2.42 and 3.18. While laboratory findings revealed a prolonged case （77.8 s） of activated partial thromboplastin time （APTT） at that time, no further investigations were carried out and anticoagulation therapy for the patient was terminated alter 3 months.