PMC10286198_01
Increased brown pigmentation on the back of the hand (a), the lower alveolar mucosa in the oral cavity (b), and the tongue (c)
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He had brown pigmentation on the arms, forearms, back of the hands, legs, and oral mucosa (Figure 1).
Contrast-enhanced abdominopelvic tomography (a) with evidence of adrenal glands with diffuse thickening and delayed enhancement after contrast administration (arrow). (b) The right adrenal gland shows hyperdense areas in the body corresponding to areas of subacute hemorrhage (circle). Abdominal MRI with gadolinium contrast (c) with evidence of lobulated adrenal glands with generalized thickening of the body and arms, with low signal intensity in the T2 sequence (arrowhead). Findings suggestive of bilateral adrenal hemorrhage in the subacute stage. MRI: magnetic resonance imaging.
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T1- and T2-weighted images. These findings were consistent with BAH in subacute stage (Figure 2).