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Case Reports |

MASSIVE SUPRARENAL HEMORRHAGE IN THE NEW-BORN INFANT

DOUGLAS P. ARNOLD, M.D.
Am J Dis Child. 1930;40(5):1053-1057. doi:10.1001/archpedi.1930.01940050115014.
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Since the time of Moissenet and Rayer,1 who first described massive suprarenal hemorrhage in the new-born infant in 1837, many observers have reported numerous types of suprarenal hemorrhage; the literature has been reviewed by Hamill,2 Corcoran and Strauss3 and others, and will merely be mentioned here in passing. Pathologists describe the small bilateral punctate hemorrhages found in the suprarenal glands of newborn infants in whom asphyxia, trauma and venous congestion are supposed to play a rôle.4 Other etiologic factors mentioned are eclampsia in the mother,5 infection,6 purpura and fever in the mother,7 thrombosis of the suprarenal veins,8 syphilis (there are many spirochetes in the suprarenals but usually no pathologic changes),9 hemophilia,10 congenital deformity of the kidney and embryonic cystic processes. Toxic factors, such as burns, diphtheria, etc., are described in certain cases as playing a rôle. Elliott said that hemorrhage

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