Acute myeloid leukemia presenting as bilateral adrenal hemorrhage
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Bilateral adrenal hemorrhage is a rare medical emergency that can result in hypotensive shock and death without prompt treatment . Acute myeloid leukemia (AML) is the most common acute leukemia in adults  and is defined by the presence of 20% or more myeloblasts in the marrow or blood . We report here a patient whose initial diagnosis of AML was made following presentation with bilateral adrenal hemorrhage initially without evidence for adrenal insufficiency but later complicated with adrenal crisis.
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Conflict of interest
NAP consulted for and received honoraria from Alexion, Pfizer, Agios Pharmaceuticals, Blueprint Medicines, Incyte, Novartis; received research funding (all to the institution) from Boehringer Ingelheim, Astellas Pharma, Daiichi Sankyo, Sunesis Pharmaceuticals, Jazz Pharmaceuticals, Pfizer, Astex Pharmaceuticals, CTI BioPharma, Celgene, Genentech, AI Therapeutics, Samus Therapeutics, Arog Pharmaceuticals, Kartos Therapeutics; and received grant funding from Celgene. Other authors (HM, AJS, and KG) report no relevant financial conflicts of interest.
This article does not contain any studies with human participants or animals performed by any of the authors.
Informed consent was obtained from the individual included in this report.
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