Document Detail

A case of initially undiagnosed hypoadrenalism presenting inappropriate secretion of anti-diuretic hormone.
MedLine Citation:
PMID:  8822324     Owner:  NLM     Status:  MEDLINE    
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.
A Sakurai; T Yamada; K Hashizume
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Endocrine journal     Volume:  42     ISSN:  0918-8959     ISO Abbreviation:  Endocr. J.     Publication Date:  1995 Dec 
Date Detail:
Created Date:  1996-11-14     Completed Date:  1996-11-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9313485     Medline TA:  Endocr J     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  811-5     Citation Subset:  IM    
Department of Geriatrics, Endocrinology and Metabolism, Shinshu University School of Medicine, Matsumoto, Japan.
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MeSH Terms
Adrenal Insufficiency / complications,  diagnosis*,  physiopathology
Follow-Up Studies
Hypothalamo-Hypophyseal System / physiopathology*
Inappropriate ADH Syndrome / etiology*
Middle Aged
Pituitary-Adrenal System / physiopathology*

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