Primary adrenal and thyroid insufficiencies associated with hypopituitarism: a diagnostic challenge.

Abstract:

:Polyglandular syndromes have been described for many years but only one case of panhypopituitarism with adrenal and thyroid insufficiencies has been documented. We present a 69-year-old woman with the initial diagnosis of idiopathic primary hypopituitarism. An associated primary adrenal disease was suspected on low plasma aldosterone and increased plasma renin values during unjustified withdrawal of treatment. The complete absence of cortisol response to long-term ACTH administration confirmed the diagnosis. In addition, primary hypothyroidism was demonstrated by the absence of radioiodine uptake by the thyroid gland and the inability to increase T4 secretion after repeated TSH injections. The pattern of hypopituitarism and the coexistence of both adrenal and thyroid deficiencies provide strong evidence for the diagnosis of autoimmune polyglandular syndrome with hypophysitis.

journal_name

Clin Endocrinol (Oxf)

journal_title

Clinical endocrinology

authors

Pholsena M,Young J,Couzinet B,Schaison G

doi

10.1111/j.1365-2265.1994.tb03023.x

subject

Has Abstract

pub_date

1994-05-01 00:00:00

pages

693-5

issue

5

eissn

0300-0664

issn

1365-2265

journal_volume

40

pub_type

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