Progress in neonatal adrenal hemorrhage / 国际儿科学杂志

ABSTRACT

Neonatal adrenal hemorrhage(NAH)is a relatively rare in neonatal period.Various high-risk factors include traumatic delivery, hypoxia, coagulopathies and so on.Most of the clinical manifestations are atypical or even absent.Severe cases may have severe jaundice, anemia, scrotal hematoma and abdominal mass, etc.Ultrasonography is one of the main methods to diagnose the disease.CT and MRI are warranted for the diagnosis in some difficult cases.Due to the strong adrenal regeneration ability of neonates, most of NAH infants can be cured with conservative treatment.Adrenal function can gradually recover as the infant ages.However, in a few cases, hypoadrenocorticism and insufficient cortisol secretion may occur.This article will review the etiology, clinical manifestations, diagnosis, differential diagnosis, treatment, and prognosis of NAH.