A 78 year-old man with hyponatremia, malaise and weight loss caused by a pituitary mass

A 78 year-old male was admitted for rehabilitation after a trans-tibial amputation three months earlier. Scheduled training with a prosthetic leg was postponed due to muscle atrophy and weakness. As the patient's status deteriorated, blood results showed worsening hyponatremia.Work-up revealed...

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Veröffentlicht in:	Laeknabladid 2012-04, Vol.98 (4), p.225
Hauptverfasser:	Gudnason, Gudni Arnar, Valtysdottir, Sigridur Thordis, Valdimarsson, Trausti, Thorvaldsson, Stefan, Magnusson, Thorvaldur
Format:	Artikel
Sprache:	ice
Schlagworte:	Adenoma - complications Adenoma - diagnosis Adenoma - therapy Aged Hormone Replacement Therapy Humans Hydrocortisone - administration & dosage Hyponatremia - diagnosis Hyponatremia - etiology Hyponatremia - therapy Hypopituitarism - diagnosis Hypopituitarism - etiology Hypopituitarism - therapy Magnetic Resonance Imaging Male Pituitary Neoplasms - complications Pituitary Neoplasms - diagnosis Pituitary Neoplasms - therapy Testosterone - administration & dosage Thyroxine - administration & dosage Treatment Outcome Weight Loss
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Beschreibung
Zusammenfassung:	A 78 year-old male was admitted for rehabilitation after a trans-tibial amputation three months earlier. Scheduled training with a prosthetic leg was postponed due to muscle atrophy and weakness. As the patient's status deteriorated, blood results showed worsening hyponatremia.Work-up revealed pituitary insufficiency caused by a pituitary mass. The patient's general health improved greatly and the hyponatremia corrected after hormonal replacement therapy with hydrocortisone, thyroxin and testosterone was initiated. Key words: hyponatremia, malaise, weight loss, pituitary insufficiency, pituitary adenoma.
ISSN:	0023-7213
DOI:	10.17992/lbl.2012.04.428