SavedAdd your journal

Journals / Türk Geriatri Dergisi / 2005 / Cilt: 8 - Sayı: 1

Two cases of panhypopituitarism presenting with severe hyponatremia

Ciddi hiponatremi ile seyreden iki panhipopitutiarizm olgusu

Alper DÖVENTAŞ
Berrin KARADAĞ
Nurullah Yekta AKÇAM
Tanju BEĞER
Pages
34–36
Publication Date
2022-11-05
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Both were discharged for geriatric and endocrinologic ambulatory follow up.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Hypopituarism may be caused by a primary pituitary disorder or it might be sedondarey.
📊
Key Findings & Data:Whenever more than %70 of the pituitary gland is effected, the clinical features of pituitary insufficiency develop.
💡
Conclusion & Impact:Both were discharged for geriatric and endocrinologic ambulatory follow up.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Hypopituarism may be caused by a primary pituitary disorder or it might be sedondarey. Whenever more than %70 of the pituitary gland is effected, the clinical features of pituitary insufficiency develop. Clinical findings of hypopituitarism are linked to loss of its hormones. Before planing and initiating therapy, one has to evaluate which hormones are leaking most. In elderly patients symptoms like fatigue or general apathy may cause problems in interpretation. In two cases admitted in geriatrics clinic with hyponatremia empty sella was dianosed and therapy was initiated. Both were discharged for geriatric and endocrinologic ambulatory follow up.

Özet

Hipopituitarizm primer veya sekonder olarak gelişebilir. Ön hipofiz bezinin % 70’inden fazlası çalışamaz hale geldiği zaman hipofiz yetmezliğinin klinik bulguları ortaya çıkar. Hipopituitarizmin kliniği, yok olan hormonların yarattığı klinik tablodan oluşur. Tedaviye başlamadan önce de hangi hormonun eksik olduğu ortaya konmalı ve tedavi planlanmalıdır. Yaşlılarda, halsizlik, yorgunluk gibi semptomlar tanıda güçlüğe yol açabilir. Geriatri servisine hiponatremi nedeniyle yatırılan iki hastada, empty sella tanısı kondu ve tedavileri düzenlendi. Her iki hasta da taburcu edilerek geriatri ve endokrinoloji poliklinik takibine alındı.

🔖

Cite This Article

DÖVENTAŞ, A., KARADAĞ, B., AKÇAM, N. Y., BEĞER, T. (2022). Two cases of panhypopituitarism presenting with severe hyponatremia. Türk Geriatri Dergisi, Cilt: 8 - Sayı: 1, 34–36. https://ajindex.com/articles/624344

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (1)

  1. Lakhdar AA, McLaren Eli, Darda NS, McKay EJ, Rubin PC. Pitu itary failure from Sheehan's syndrome in the puerperium. Two case reports. Br J Obstet Gynaecol 1987; 94: 998-9 2-Roberts DM. Sheehan's syndrome. Am Fam Phys 1988; 37: 223-7. 3-Otsuka F, Kageyama J, Oguya T, Hattori T, Makino H. Sheehan's syndrome of more than 30 years duration: an endocrine and MRI study of 6 cases. Endocr J 1998; 45: 451-8. 4-Boulanger E, Pagniez D, Roueff S, et al. Sheehan syndrome pre senting as early post partum hyponatremia. Nephrol Dial Transp lant 1999; 14: 2714-5. 5-Shoji M, Kimura T, Ota K, et al. Cortical laminar necrosis and central pontine myelinosis in a patient with Sheehan syndrome and severe hyponatremia. Intern Med 1996; 35: 427-31. 6-Diederich S, Franzen NF, Bahr V, Oelkers W. Severe hyponatre mia due to hypopituitarism with adrenal insufficiency: report on 28 cases. Europ J Endoc 2003; 6: 609-617. 7-Yatagai T, Kusaka I, Nakamura T, Nagasaka S, Honda K, Ishibashi S et al. Close association of severe hyponatremia with exaggera ted release of arginine vasopressin in elderly subjects with secon dary adrenal insufficiency. Europ J Endoc 2003; 148: 221-226.