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Correspondence

Heparin-Induced Thrombocytopenia Presenting as Bilateral Adrenal Hemorrhages

Two cases are described in which adrenal hemorrhage was misdiagnosed as the result of too much anticoagulation when the cause was adrenal-vein thrombosis mediated by anti–platelet factor 4 antibodies.

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Theodore E. Warkentin, M.D.
McMaster University, Hamilton, ON, Canada

Eric L. Safyan, M.D.
UPMC Mercy Cancer Center, Pittsburgh, PA

Lori-Ann Linkins, M.D.
McMaster University, Hamilton, ON, Canada

Funding and Disclosures

Funding for the rivaroxaban used in the HIT study was provided by Bayer.

Disclosure forms provided by the authors are available with the full text of this letter at NEJM.org.

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