A Case of Initially Undiagnosed Hypoadrenalism Presenting Inappropriate Secretion of Anti-Diuretic Hormone

Endocrine Journal

AKIHIRO SAKURAI¹  TAKASHI YAMADA¹  KIYOSHI HASHIZUME¹ 

[1] Department of Geriatrics, Endocrinology and Metabolism, Shinshu University School of Medicine

关键词: SIADH;    Hyponatremia;    Hypoadrenalism;    Hypopituitarism;    Empty sella syndrome;   

DOI  :  10.1507/endocrj.42.811

学科分类：内分泌与代谢学

来源: Japan Endocrine Society

【 摘 要 】

References(22)Cited-By(2)The case of a 55-year-old woman with inappropriate secretion of anti-diuretic hormone (ADH) is reported. Her pituitary-adrenocortical function test showed normal values on admission, but when she recovered from hyponatremia, severe panhypopituitarism became overt. Her adrenal insufficiency was considered to have been “masked” by endogenous stimulation of the hypothalamus-pituitary-adrenal axis under severe stress. One should be cautious in estimating the pituitary-adrenal function of severely ill patients.

【 授权许可】

Unknown