Searchable abstracts of presentations at key conferences in endocrinology

ea0021p96 | Clinical practice/governance and case reports | SFEBES2009

Primary antiphospholipid syndrome presenting as accelerated hypertension and adrenal haemorrhage associated with elevated urinary catecholamines

Thomas Ben , Wordsworth Simon , Agarwal Neera , Davies Steve , Donovan Kieron

A 51-year-old woman with no significant past medical history presented with left flank pain, accelerated hypertension, progressive deterioration in renal function and left sided pleuritic chest pain. CTPA revealed pulmonary oedema and left adrenal haemorrhage. Urinary catecholamines were marginally elevated (24 h Urinary Metadrenalines 7.58 ╬╝mol/24 h) raising the possibility of an underlying phaeochromocytoma. Short synacthen test showed a sub-optimal response (0 min cort...