Evidence map›Paper›PMID 40809165›Full record

ArticleOxford medical case reports2025

Bilateral adrenal infarction in a patient with essential thrombocythemia: a case report and brief literature review.

Yuko Fujishima, Yuji Hataya, Kanta Fujimoto, Toshio Iwakura, Naoki Matsuoka

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In one paragraph

Article in Oxford medical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Yuko FujishimaDepartment of Diabetes and Endocrinology, Kobe City Medical Center General Hospital, Kobe 650-0047, Japan.
Yuji HatayaDepartment of Diabetes and Endocrinology, Kobe City Medical Center General Hospital, Kobe 650-0047, Japan.
Kanta FujimotoDepartment of Diabetes and Endocrinology, Kobe City Medical Center General Hospital, Kobe 650-0047, Japan.
Toshio IwakuraDepartment of Diabetes and Endocrinology, Kobe City Medical Center General Hospital, Kobe 650-0047, Japan.
Naoki MatsuokaDepartment of Diabetes and Endocrinology, Kobe City Medical Center General Hospital, Kobe 650-0047, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adrenal infarction (AI) is rare condition caused by inadequate blood supply to the adrenal glands, with few reports of its association with essential thrombocythemia (ET). Here, we report a case of bilateral AI as an initial thrombotic complication in a patient with ET. A 69-year-old man presented with right abdominal pain. Abdominal computed tomography (CT) showed diffuse enlargement and poor enhancement of bilateral adrenal glands. He was diagnosed with bilateral AI. Based on positive screening for thrombocytosis and the Janus kinase 2 V617F mutation, he was diagnosed with ET. After low-dose aspirin therapy, he showed no symptom recurrence. The cortisol response in the adrenocorticotropic hormone stimulation test decreased at onset but improved after three months. Furthermore, abdominal CT revealed improvement in bilateral adrenal enlargement and enhancement. In patients presenting with AI, ET should be considered as a potential underlying disease, and early diagnosis and treatment is important to prevent recurrence.

Indexed as

adrenal infarctionessential thrombocythemiaJapan

Identifiers

PMID40809165
PMCPMC12342896

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