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BILATERAL ADRENAL HEMORRHAGE AND CALCIFICATION

RICHARD C. STEVENS, M.D.; A. J. TOMSYKOSKI, M.D.
AMA Am J Dis Child. 1954;87(4):475-477. doi:10.1001/archpedi.1954.02050090463007.
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HEMORRHAGE into the adrenal gland in the newborn is only an occasional occurrence, but it is always pathologic.1 Snelling and Erb,2 in a review of 3,637 autopsies, found evidence of such hemorrhage in only 38 cases. In some of these cases the hemorrhage was quite extensive and probably the cause of death, while in others the hemorrhage was small and probably only an incidental finding. Calcification was noted in 2 cases of the newborn group of 15 and in 6 cases of the 23 older children. In the newborn cases, death ensued 8 and 10 days after difficult deliveries, respectively. In the remaining six cases, the ages ranged from 4 months to 5½ years, and the findings of calcification, fibrosis, and hemosiderin deposition indicated that the hemorrhage had occurred much earlier. Rack and Eibena reported a case of a 22-month-old girl who showed evidence of right-adrenal-gland hemorrhage and

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