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- Title
Depression and hyponatraemia unmasking hypopituitarism.
- Authors
Sonali, Nethagani Sankya; Abhilash, Naini; Sree, Aakula Suguna; Modugu, Nageswara Rao; Shetty, Mallikarjuna
- Abstract
Hyponatraemia is a common clinical problem encountered in clinical practice and has multifactorial aetiology. The presentation of hyponatremia due to hypopituitarism secondary to pituitary apoplexy is rarely seen and sometimes missed. We report the case of a 34-year-old male with a history of reduced social interaction, decreased sexual drive, fatigue, vomiting, hiccoughs and presented to the hospital with altered sensorium. Laboratory testing revealed hyponatraemia (107 mEq/L); there was reduced serum cortisol (8 AM), decrease in serum adrenocorticotropic hormone (8 AM) and pituitary hormone assay suggestive of hypopituitarism. Magnetic resonance imaging of the brain with dynamic pituitary contrast suggestive of pitutary apoplexy. The patient was managed with 3% sodium chloride infusion, hydrocortisone and thyroid supplementation.
- Subjects
HYPOPITUITARISM; MAGNETIC resonance imaging; ADRENOCORTICOTROPIC hormone; LIBIDO; CEREBROVASCULAR disease
- Publication
Journal of Clinical & Scientific Research, 2024, Vol 13, Issue 1, p63
- ISSN
2277-5706
- Publication type
Article
- DOI
10.4103/jcsr.jcsr_157_22