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Neonatal adrenal gland hemorrhage

Neonatal adrenal gland hemorrhage

Orvosi Hetilap 130(47): 2519-2526

During a six-month period the authors have been diagnosing 25 neonatal adrenal haemorrhage by 870 ultrasound screening examinations. This frequency (28.7%) is surprisingly high in comparison with earlier postmortem estimated literature data (1.7-6.0%). In 24 survived neonates the adrenal haemorrhage was absorbed between 6 weeks and 4 months, no disturbances in the electrolyte levels were found, and the haemorrhage did not require any treatment. However, the authors observed pathological neurological symptoms or intracranial haemorrhage as more than 30% of the newborn infants suffering from adrenal haemorrhage. On the basis of ultrasound signs of adrenal haemorrhages the authors distinguish three groups, namely, cortical, medullar and apoplectiform haemorrhages. By analysing the history, clinical symptoms and follow up study of adrenal haemorrhages in the newborn period the authors conclude that infants born as "large for date babies", suffered from intrauterine asphyxia, forceps or vacuum extractions can be taken the risk of adrenal haemorrhage.

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Accession: 040780325

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PMID: 2687761

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