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Case Reports
March 1932


Author Affiliations

From the Pediatric Department of the Coney Island Hospital, Dr. Judson P. Pendleton, chief of service.

Am J Dis Child. 1932;43(3):663-666. doi:10.1001/archpedi.1932.01950030133016

Suprarenal hemorrhage in the new-born infant is a rather common condition, which, as a rule, is diagnosed only at autopsy. In a few instances the diagnosis was made in vivo, for instance by Corcoran and Strauss,1 who operated on such a child for what they thought was an acute abdominal condition, and found to their surprise a hemorrhage of the suprarenal glands.

Goldzieher2 described a definite syndrome on the basis of which suprarenal hemorrhage in the new-born infant can be diagnosed. Such cases diagnosed in vivo and confirmed at autopsy were reported by Goldzieher and Greenwald.3 The main symptoms on which such a diagnosis can be made are rapid respiration and high temperature with normal lungs. The presence of a palpable mass in the abdomen is confirmatory evidence. Other symptoms that may be present are convulsions, rash on the skin, petechiae on the skin or mucous membranes,

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