Hypopituitarism Presenting as Osteoporotic Fracture after Cured Tuberculous Meningitis.
	    		
		   		
	    	
    	
    	
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Jung Yeop LEE
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Mi Jung KIM
			        		
			        		;
		        		
		        		
		        		
			        		Min A KIM
			        		
			        		;
		        		
		        		
		        		
			        		Se Hyuk KWON
			        		
			        		;
		        		
		        		
		        		
			        		Eun Kyoung KIM
			        		
			        		;
		        		
		        		
		        		
			        		Kyung Ae LEE
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. Division of Endocrinology and Metabolism, Department of Internal Medicine, Chonbuk National University Hospital, Chonbuk National University Medical School, Jeonju, Korea. kaleey@hanmail.net
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Case Report
 
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Tuberculosis, meningeal;
			        		
			        		
			        		
				        		Hypopituitarism;
			        		
			        		
			        		
				        		Vitamin D deficiency
			        		
			        		
	        			
        			
        		
 
        	
            
            	- MeSH:
            	
	        			
	        				
	        				
				        		
					        		Body Composition;
				        		
			        		
				        		
					        		Hypopituitarism*;
				        		
			        		
				        		
					        		Incidence;
				        		
			        		
				        		
					        		Osteoporotic Fractures*;
				        		
			        		
				        		
					        		Pituitary Hormones;
				        		
			        		
				        		
					        		Pituitary Hormones, Anterior;
				        		
			        		
				        		
					        		Sexual Development;
				        		
			        		
				        		
					        		Tuberculosis, Meningeal*;
				        		
			        		
				        		
					        		Vitamin D;
				        		
			        		
				        		
					        		Vitamin D Deficiency
				        		
			        		
	        			
	        			
            	
            	
 
            
            
            	- From:Soonchunhyang Medical Science
	            		
	            		 2016;22(2):141-143
	            	
            	
 
            
            
            	- CountryRepublic of Korea
 
            
            
            	- Language:English
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	Tuberculous meningitis is a well-known cause of hypothalamic pituitary dysfunction. However, deficiencies of anterior pituitary hormones may only become evident years after recovery because symptoms are of insidious-onset and nonspecific. Pituitary hormones are essential for normal growth and sexual development in childhood, and for maintenance of healthy body composition. In addition, pituitary hormones and vitamin D are important for cardiovascular and bone health. Although evidence of the relationship between hypovitaminosis D and hypopituitarism is limited, some studies suggested that the incidence of vitamin D deficiency increased in hypopituitarism. We describe herein an unusual case of hypopituitarism and severe hypovitaminosis D presenting as osteoporotic fracture after cured tuberculous meningitis.