‘Houdini’s Pituitary:’ A Case Report of Regression of Pituitary Mass to Empty Sella in a 58-Year-Old Man with Autoimmune Hypophysitis

A 58-year-old male presented with persistent severe headache, lethargy, decline libido and no neurological deficits. Besides quadruple anterior pituitary hormonal deficiencies, magnetic resonance imaging (MRI) demonstrated an enlarged ring-enhanced non-homogenous pituitary. Following hormonal replac...

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Detalles Bibliográficos
Autores principales: Ooi, Cheow Peng, Kamarruddin, Nor Azmi, Mustafa, Norlaila, Kew, Thean Yean
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Journal of the ASEAN Federation of Endocrine Societies 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7784232/
https://www.ncbi.nlm.nih.gov/pubmed/33442114
http://dx.doi.org/10.15605/jafes.033.01.12
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author Ooi, Cheow Peng
Kamarruddin, Nor Azmi
Mustafa, Norlaila
Kew, Thean Yean
author_facet Ooi, Cheow Peng
Kamarruddin, Nor Azmi
Mustafa, Norlaila
Kew, Thean Yean
author_sort Ooi, Cheow Peng
collection PubMed
description A 58-year-old male presented with persistent severe headache, lethargy, decline libido and no neurological deficits. Besides quadruple anterior pituitary hormonal deficiencies, magnetic resonance imaging (MRI) demonstrated an enlarged ring-enhanced non-homogenous pituitary. Following hormonal replacement, these symptoms improved but empty sella evolved. The challenges of diagnosis and management were discussed. Awareness of the unclear etiology and uncertain clinical course of autoimmune hypophysitis in a man in this age group is essential for prompt and appropriate management.
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spelling pubmed-77842322021-01-12 ‘Houdini’s Pituitary:’ A Case Report of Regression of Pituitary Mass to Empty Sella in a 58-Year-Old Man with Autoimmune Hypophysitis Ooi, Cheow Peng Kamarruddin, Nor Azmi Mustafa, Norlaila Kew, Thean Yean J ASEAN Fed Endocr Soc Case Report A 58-year-old male presented with persistent severe headache, lethargy, decline libido and no neurological deficits. Besides quadruple anterior pituitary hormonal deficiencies, magnetic resonance imaging (MRI) demonstrated an enlarged ring-enhanced non-homogenous pituitary. Following hormonal replacement, these symptoms improved but empty sella evolved. The challenges of diagnosis and management were discussed. Awareness of the unclear etiology and uncertain clinical course of autoimmune hypophysitis in a man in this age group is essential for prompt and appropriate management. Journal of the ASEAN Federation of Endocrine Societies 2018-05-24 2018 /pmc/articles/PMC7784232/ /pubmed/33442114 http://dx.doi.org/10.15605/jafes.033.01.12 Text en © 2018 Journal of the ASEAN Federation of Endocrine Societies https://creativecommons.org/licenses/by-nc/4.0/ This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International.
spellingShingle Case Report
Ooi, Cheow Peng
Kamarruddin, Nor Azmi
Mustafa, Norlaila
Kew, Thean Yean
‘Houdini’s Pituitary:’ A Case Report of Regression of Pituitary Mass to Empty Sella in a 58-Year-Old Man with Autoimmune Hypophysitis
title ‘Houdini’s Pituitary:’ A Case Report of Regression of Pituitary Mass to Empty Sella in a 58-Year-Old Man with Autoimmune Hypophysitis
title_full ‘Houdini’s Pituitary:’ A Case Report of Regression of Pituitary Mass to Empty Sella in a 58-Year-Old Man with Autoimmune Hypophysitis
title_fullStr ‘Houdini’s Pituitary:’ A Case Report of Regression of Pituitary Mass to Empty Sella in a 58-Year-Old Man with Autoimmune Hypophysitis
title_full_unstemmed ‘Houdini’s Pituitary:’ A Case Report of Regression of Pituitary Mass to Empty Sella in a 58-Year-Old Man with Autoimmune Hypophysitis
title_short ‘Houdini’s Pituitary:’ A Case Report of Regression of Pituitary Mass to Empty Sella in a 58-Year-Old Man with Autoimmune Hypophysitis
title_sort ‘houdini’s pituitary:’ a case report of regression of pituitary mass to empty sella in a 58-year-old man with autoimmune hypophysitis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7784232/
https://www.ncbi.nlm.nih.gov/pubmed/33442114
http://dx.doi.org/10.15605/jafes.033.01.12
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