Case Report
Rare Bilateral Adrenal Haemorrhage with Addisonian Crisis: When Risk Factors Come in Droves
Table 1
Laboratory studies at admission.
| Parameter | Result (CH units) | Normal range |
| Sodium | 124 mmol/l | 136–145 mmol/l | Potassium | 2.6 mmol/l | 3.4–5.0 mmol/l | Serum osmolality | 258 mmol/kg | 280–300 mmol/kg | Blood urea nitrogen | 3.0 mmol/l | <11.9 mmol/l | Chloride | 87 mmol/l | 96–108 mmol/l | pH | 7.40 | 7.37–7.45 | Bicarbonate | 27 mmol/l | 21–26 mmol/l | Glucose | 5.4 mmol/l | 3.9–6.4 mmol/l | Creatinine | 47 µmol/l | 44–80 µmol/l | eGFR (CKD-EPI) | 98 ml/min | >90 ml/min | Random serum-cortisol | 39 nmol/l | 80–690 nmol/l | ACTH (day 4) | 173 ng/l | <61 ng/l | TSH | 2.23 mU/l | 0.27–4.2 mU/l | C-reactive protein | 158 mg/l | <5 mg/l | Hemoglobin | 118 g/l | 120–160 g/l | Eosinophils | 0.1 G/l (0.7%) | <0.7 G/l (2–4%) | Thrombocytes | 135 G/l | 150–375 G/l | INR (international normalized ratio) | 2.8 | 2.0–3.0 | Antiadrenal & 21-hydroxylase antibodies | Negative | | Antiphospholipid syndrome antibodies | Negative | | Platelet factor 4 IgG antibodies | 24.6 U/ml | <1.0 U/ml | Urine culture | Negative | | Blood culture | Negative | |
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