12 February 2026
: Case report 
Bilateral Adrenal Infarction as an Uncommon Complication of Heparin-Induced Thrombocytopenia: A Case Report
Challenging differential diagnosis, Unusual or unexpected effect of treatment, Rare disease
Abhinav Singla
ABEFG 1, Asmita Addanki DEF 2, Aleena Shahnawaz DEF 2, Alyssa Catherine Raj DEF 2*, Anam Sadia BEF 3, Shah Rukh EF 4, Muhammad Ali EF 1, Aleksandra Murawska Baptista ABG 1
DOI: 10.12659/AJCR.951331
Am J Case Rep 2026; 27:e951331
Table 1 Laboratory parameter trends.
| Parameters | On previous admission | On current admission | At discharge | Reference range |
|---|---|---|---|---|
| Hemoglobin (g/dL) | 8.2 | 8.7 | 8.3 | 11.6–15.0 |
| Hematocrit (%) | 25.0 | 23.6 | 25.7 | 35.5–44.9 |
| Leukocyte (×10/L) | 7.0 | 10.7 | 7.5 | 3.4–9.6 |
| Platelets (×10/L) | 313 | 95 | 436 | 157–371 |
| Sodium (mmol/L) | 123 | 118 | 130 | 135–145 |
| Potassium (mmol/L) | 4.2 | 3.6 | 3.2 | 3.6–5.2 |
| Bicarbonate (mmol/L) | 27 | 21 | 21 | 22–29 |
| Urine sodium random (mmol/L) | 93 | 45 | 43 | N/A |
| Urine osmolality (mOsm/kg) | 310 | 277 | –* | 150–1150 |
| Serum osmolality (mOsm/kg) | 272 | 261 | –* | 275–295 |
| Serum morning cortisol (mcg/dL) | 16 | 2.3 | 2.6 | 7–25 |
| * “ – ” indicates data not available. | ||||