Affiliations 

  • 1 Endocrinology Unit, Department of Medicine, Universiti Putra Malaysia
  • 2 Endocrinology Unit, Department of Medicine, Pusat Perubatan Universiti Kebangsaan Malaysia
  • 3 Radiology Department, Pusat Perubatan Universiti Kebangsaan Malaysia
J ASEAN Fed Endocr Soc, 2018;33(1):69-73.
PMID: 33442114 DOI: 10.15605/jafes.033.01.12

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 etiology and uncertain clinical course of autoimmune hypophysitis in a man in this age group is essential for prompt and appropriate management.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.