Waterhouse-Friderichsen syndrome

Waterhouse-Friderichsen syndrome occurs when the blood vessels in the adrenal gland rupture during a severe bacterial infection, turning the adrenal glands into sacks of blood.

This results in adrenal crisis, or acute adrenal insufficiency, which is when the adrenal gland suddenly stops producing hormones.

The syndrome is named after two physicians - Waterhouse and Friderichsen who separately described the syndrome back in the early 1900’s.

Now, there are two adrenal glands, one above each kidney, and each one has an inner layer called the medulla and an outer layer called the cortex.

The adrenal cortex is subdivided into three more layers, the zona glomerulosa, zona fasciculata, and the zona reticularis.

The adrenal cortex secretes hormones under the control of adrenocorticotropic hormone, released by pituitary gland.

The outermost layer is the zona glomerulosa, which makes the hormone aldosterone.

Aldosterone acts on the nephrons of the kidney, and decrease potassium levels, increase sodium levels, and increase blood volume and blood pressure.

The middle layer is the zona fasciculata, which makes the hormone cortisol, as well as other glucocorticoids.

The main job of glucocorticoid is to increase blood glucose levels, especially when there’s emotional and physical stress.

Finally, the innermost layer is the zona reticularis, which makes a group of sex hormones called androgens.

In men, androgen stimulates development of male reproductive tissues and secondary sex characteristics like facial hair and a large Adam’s apple.

In women, androgen causes a growth spurt, and growth of underarm and pubic hair during puberty.

The adrenal gland gets blood through three main arteries- the superior, middle, and inferior suprarenal arteries.