By Mark E. Molitch
Northwestern Univ., Chicago, IL. textual content, for the training endocrinologist, beneficial properties concise case reviews, unorthodox pondering generating potent nonstandard techniques, most up-to-date equipment of analysis and remedy, and functional details for day-by-day use. DNLM: Endocrine Diseases--diagnosis.
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Similarly, GH therapy may be beneficial, but was refused by our patient. Diabetes insipidus, when present, is usually central and would respond well to oral or intranasal DDAVP. However, occasionally it may be partially nephrogenic when hypercalcemia is a complicating feature. Chronic steroid therapy requires as much monitoring as hypopituitarism itself. Our patient developed cataracts, avascular necrosis of the hip, hypertension, and kidney stones. She is on prophylactic therapy for peptic ulcer disease.
The original thyroid function tests done a few months before endocrine evaluation were interpreted to be consistent with euthyroid-sick syndrome. It was not until the clinical and biochemical data were looked at together, that the diagnosis of hypopituitarism was entertained. 20 Arafah and Nasrallah Sarcoidosis is a multisystem granulomatous disorder of unknown etiology (1). Its prevalence varies from 5–50/100,000 depending on the population studied. 8-fold increased risk among African-Americans, with a slight female preponderance.
The endocrine team was consulted when the presumptive diagnosis of pituitary tumor apoplexy was made. Intravenous hydrocortisone (100 mg) was administered, a lumbar puncture was done followed by wide spectrum antibiotic therapy. The patient was admitted to the neurological intensive care unit for monitoring. Studies on the CSF specimens showed 15 WBC/mL, mostly lymphocytes, a normal glucose of 79 mg/dL, and an elevated protein concentration to 220 mg/dL. Cultures done on a CSF specimen showed no bacterial growth.