Adrenal insufficiency revealing bilateral adrenal hemorrhage related to JAK2 V617F-positive essential thrombocythemia: about two cases.


Journal

Blood coagulation & fibrinolysis : an international journal in haemostasis and thrombosis
ISSN: 1473-5733
Titre abrégé: Blood Coagul Fibrinolysis
Pays: England
ID NLM: 9102551

Informations de publication

Date de publication:
01 Apr 2023
Historique:
medline: 12 4 2023
pubmed: 1 2 2023
entrez: 31 1 2023
Statut: ppublish

Résumé

Bilateral adrenal hemorrhage is a rare cause of adrenal insufficiency which has been rarely associated with myeloproliferative neoplasms. Here, we report two cases of bilateral adrenal hemorrhage revealed by abdominal pain, malaise, and fatigue in two octogenarian males previously diagnosed with JAK2 V617F-positive essential thrombocythemia. Both patients were on long-term direct oral anticoagulant treatment for atrial fibrillation. Evolution was favorable under steroid replacement therapy, associated with cytoreduction, aspirin, and switch of direct oral anticoagulants for vitamin K antagonists.

Identifiants

pubmed: 36719803
doi: 10.1097/MBC.0000000000001196
pii: 00001721-202304000-00018
doi:

Substances chimiques

Janus Kinase 2 EC 2.7.10.2
JAK2 protein, human EC 2.7.10.2

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

228-231

Informations de copyright

Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

Références

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Auteurs

Noémie Gensous (N)

Department of Internal Medicine and Clinical Immunology, CHU Bordeaux (Groupe Hospitalier Saint-André).
UMR/CNRS 5164, ImmunoConcEpT, CNRS, University of Bordeaux.

Wendy Jourde (W)

Department of Internal Medicine and Clinical Immunology, CHU Bordeaux (Groupe Hospitalier Saint-André).

Kévin Salles (K)

Department of Internal Medicine and Clinical Immunology, CHU Bordeaux (Groupe Hospitalier Saint-André).

Chloé James (C)

Laboratory of Hematology, CHU Bordeaux, Bordeaux.
INSERM UMR 1034, « Biology of Cardiovascular Diseases », University of Bordeaux, Pessac, France.

Alexandre Guy (A)

Laboratory of Hematology, CHU Bordeaux, Bordeaux.
INSERM UMR 1034, « Biology of Cardiovascular Diseases », University of Bordeaux, Pessac, France.

Pierre Duffau (P)

Department of Internal Medicine and Clinical Immunology, CHU Bordeaux (Groupe Hospitalier Saint-André).
UMR/CNRS 5164, ImmunoConcEpT, CNRS, University of Bordeaux.

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