Adrenal hemorrhage laboratory findings

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Laboratory Findings

There is hypoglycemia with hyponatremia and hyperkalemia, and the Synachten test demonstrates the acute suprarenal failure. Leukocytosis need not to be extreme and in fact leukopenia may be seen and it is a very poor prognostic sign. CRP levels can be elevated or almost normal. Thrombocytopenia is sometimes extreme, with alteration in PT and PTT suggestive of DIC. Acidosis and acute renal failure can be seen as in any severe sepsis.

Meningococci can be readily cultured from blood or CSF, and can sometimes be seen in smears of cutaneous lesions.