Adrenal Hemorrhaging in a Patient with Severe Obstructive Sleep Apnea Syndrome with Elevated Plasma ACTH Levels

Adrenal hemorrhaging (AH) is a rare condition characterized by bleeding into the suprarenal glands. A 62-year-old man with untreated obstructive sleep apnea syndrome (OSAS) was admitted to our hospital complaining of abdominal stiffness. He was diagnosed with left-sided AH and underwent adrenalectom...

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Autores principales: Sawamura, Toshitaka, Karashima, Shigehiro, Aono, Daisuke, Ohmori, Ai, Kometani, Mitsuhiro, Takeda, Yoshiyu, Yoneda, Takashi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10465277/
https://www.ncbi.nlm.nih.gov/pubmed/36517031
http://dx.doi.org/10.2169/internalmedicine.0895-22
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author Sawamura, Toshitaka
Karashima, Shigehiro
Aono, Daisuke
Ohmori, Ai
Kometani, Mitsuhiro
Takeda, Yoshiyu
Yoneda, Takashi
author_facet Sawamura, Toshitaka
Karashima, Shigehiro
Aono, Daisuke
Ohmori, Ai
Kometani, Mitsuhiro
Takeda, Yoshiyu
Yoneda, Takashi
author_sort Sawamura, Toshitaka
collection PubMed
description Adrenal hemorrhaging (AH) is a rare condition characterized by bleeding into the suprarenal glands. A 62-year-old man with untreated obstructive sleep apnea syndrome (OSAS) was admitted to our hospital complaining of abdominal stiffness. He was diagnosed with left-sided AH and underwent adrenalectomy. Pre- and post-surgery, elevated plasma adrenocorticotropic hormone (ACTH) levels were observed. However, Cushing's syndrome and adrenal insufficiency were negative, and nasal continuous positive airway pressure (CPAP) normalized the plasma ACTH levels. Elevated ACTH levels are reportedly present in patients with OSAS. ACTH may be associated with the development of AH through the change in blood supply and other mechanisms.
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spelling pubmed-104652772023-08-30 Adrenal Hemorrhaging in a Patient with Severe Obstructive Sleep Apnea Syndrome with Elevated Plasma ACTH Levels Sawamura, Toshitaka Karashima, Shigehiro Aono, Daisuke Ohmori, Ai Kometani, Mitsuhiro Takeda, Yoshiyu Yoneda, Takashi Intern Med Case Report Adrenal hemorrhaging (AH) is a rare condition characterized by bleeding into the suprarenal glands. A 62-year-old man with untreated obstructive sleep apnea syndrome (OSAS) was admitted to our hospital complaining of abdominal stiffness. He was diagnosed with left-sided AH and underwent adrenalectomy. Pre- and post-surgery, elevated plasma adrenocorticotropic hormone (ACTH) levels were observed. However, Cushing's syndrome and adrenal insufficiency were negative, and nasal continuous positive airway pressure (CPAP) normalized the plasma ACTH levels. Elevated ACTH levels are reportedly present in patients with OSAS. ACTH may be associated with the development of AH through the change in blood supply and other mechanisms. The Japanese Society of Internal Medicine 2022-12-14 2023-08-01 /pmc/articles/PMC10465277/ /pubmed/36517031 http://dx.doi.org/10.2169/internalmedicine.0895-22 Text en Copyright © 2023 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Sawamura, Toshitaka
Karashima, Shigehiro
Aono, Daisuke
Ohmori, Ai
Kometani, Mitsuhiro
Takeda, Yoshiyu
Yoneda, Takashi
Adrenal Hemorrhaging in a Patient with Severe Obstructive Sleep Apnea Syndrome with Elevated Plasma ACTH Levels
title Adrenal Hemorrhaging in a Patient with Severe Obstructive Sleep Apnea Syndrome with Elevated Plasma ACTH Levels
title_full Adrenal Hemorrhaging in a Patient with Severe Obstructive Sleep Apnea Syndrome with Elevated Plasma ACTH Levels
title_fullStr Adrenal Hemorrhaging in a Patient with Severe Obstructive Sleep Apnea Syndrome with Elevated Plasma ACTH Levels
title_full_unstemmed Adrenal Hemorrhaging in a Patient with Severe Obstructive Sleep Apnea Syndrome with Elevated Plasma ACTH Levels
title_short Adrenal Hemorrhaging in a Patient with Severe Obstructive Sleep Apnea Syndrome with Elevated Plasma ACTH Levels
title_sort adrenal hemorrhaging in a patient with severe obstructive sleep apnea syndrome with elevated plasma acth levels
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10465277/
https://www.ncbi.nlm.nih.gov/pubmed/36517031
http://dx.doi.org/10.2169/internalmedicine.0895-22
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