‘Houdini’s Pituitary:’ A case report of regression of pituitary mass to Empty Sella in a 58-year-old man with autoimmune Hypophysitis
- Author:
Cheow Peng Ooi
1
;
Nor Azmi Kamarruddin
2
;
Norlaila Mustafa
2
;
Thean Yean Kew
3
Author Information
- Publication Type:Case Reports
- Keywords: https://www.asean-endocrinejournal.org/index.php/JAFES/issue/archive
- From: Journal of the ASEAN Federation of Endocrine Societies 2018;33(1):69-73
- CountryPhilippines
- Language:English
- Abstract: 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 etiologyand uncertain clinical course of autoimmune hypophysitis in a man in this age group is essential for prompt and appropriate management.
- Full text:454-Article.pdf