Hypopituitarism history and symptoms: Difference between revisions
Iqra Qamar (talk | contribs) |
No edit summary |
||
Line 4: | Line 4: | ||
==Overview== | ==Overview== | ||
A positive history of [[head trauma]] | A positive history of [[head trauma]], [[adenoma]], a [[lesion]] such as a [[Sella turcica|sellar]] lesion, or any symptom related to [[Pituitary gland|pituitary]] [[hormonal]] deficiency is suggestive of [[hypopituitarism]]. Patients of [[hypopituitarism]] may be [[asymptomatic]] or show symptoms which can be nonspecific or specific for the deficient [[hormone]]. Patients with acute onset of [[Hypopituitarism (patient information)|hypopituitarism]] can present with a [[headache]], [[nausea]], [[vomiting]], [[visual impairment]], [[fatigue (physical)|fatigue]], [[cold]] intolerance, [[hypotension]], and [[dizziness (patient information)|dizziness]]. Patients with chronic [[hypopituitarism]] can present with [[pallor]], [[weight loss]], and [[anorexia]]. | ||
==History== | ==History== | ||
A positive history of [[head trauma]] | A positive history of [[head trauma]], [[adenoma]], a [[lesion]] such as a sellar lesion, or any symptom related to [[Pituitary gland|pituitary]] [[hormonal]] deficiency is suggestive of [[Hypopituitarism (patient information)|hypopituitarism]]. | ||
==Symptoms== | ==Symptoms== | ||
Patients of [[Hypopituitarism (patient information)|hypopituitarism]] may be asymptomatic or show symptoms which can be nonspecific or specific for the deficient [[hormone]] | Patients of [[Hypopituitarism (patient information)|hypopituitarism]] may be asymptomatic or show symptoms which can be nonspecific or specific for the deficient [[hormone]] such as an [[adrenal crisis]] or profound [[hypothyroidism]]. Patients can also present with symptoms suggestive of a [[mass]] lesion. [[Metastasis]] usually involves posterior [[Pituitary gland|pituitary]] initially thus presenting as [[diabetes insipidus]]. | ||
===Non-specific symptoms=== | ===Non-specific symptoms=== | ||
Line 23: | Line 23: | ||
* [[Visual impairment]] | * [[Visual impairment]] | ||
* [[Fatigue (physical)|fatigue]] | * [[Fatigue (physical)|fatigue]] | ||
* Cold intolerance | * [[Cold]] intolerance | ||
* [[Hypotension]] | * [[Hypotension]] | ||
* [[Dizziness]] | * [[Dizziness]] | ||
Line 67: | Line 67: | ||
* [[Erectile dysfunction]] | * [[Erectile dysfunction]] | ||
* Decreased volume of ejaculate | * Decreased volume of ejaculate | ||
* Hot | * Hot flushes | ||
* Decrease [[bone mass]] | * Decrease [[bone mass]] | ||
* Reduced energy and vitality | * Reduced energy and vitality | ||
Line 77: | Line 77: | ||
* [[Loss of libido|Decreased libido]] | * [[Loss of libido|Decreased libido]] | ||
* Hot flashes | * Hot flashes | ||
* Vaginal dryness | * [[Vaginal]] dryness | ||
* [[Infertility]] | * [[Infertility]] | ||
|- | |- | ||
Line 101: | Line 101: | ||
| | | | ||
* [[Muscle aches]] | * [[Muscle aches]] | ||
* Decreased milk ejection during lactation | * Decreased milk ejection during [[lactation]] | ||
* [[Sleep disturbance]] | * [[Sleep disturbance]] | ||
* [[Anxiety]] | * [[Anxiety]] |
Revision as of 20:27, 19 September 2017
Hypopituitarism Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Hypopituitarism history and symptoms On the Web |
American Roentgen Ray Society Images of Hypopituitarism history and symptoms |
Risk calculators and risk factors for Hypopituitarism history and symptoms |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH [2], Iqra Qamar M.D.[3]
Overview
A positive history of head trauma, adenoma, a lesion such as a sellar lesion, or any symptom related to pituitary hormonal deficiency is suggestive of hypopituitarism. Patients of hypopituitarism may be asymptomatic or show symptoms which can be nonspecific or specific for the deficient hormone. Patients with acute onset of hypopituitarism can present with a headache, nausea, vomiting, visual impairment, fatigue, cold intolerance, hypotension, and dizziness. Patients with chronic hypopituitarism can present with pallor, weight loss, and anorexia.
History
A positive history of head trauma, adenoma, a lesion such as a sellar lesion, or any symptom related to pituitary hormonal deficiency is suggestive of hypopituitarism.
Symptoms
Patients of hypopituitarism may be asymptomatic or show symptoms which can be nonspecific or specific for the deficient hormone such as an adrenal crisis or profound hypothyroidism. Patients can also present with symptoms suggestive of a mass lesion. Metastasis usually involves posterior pituitary initially thus presenting as diabetes insipidus.
Non-specific symptoms
Patients of hypopituitarism may present with the following symptoms:
Acute hypopituitarism | Chronic hypopituitarism |
---|---|
|
Symptoms of deficient hormones
In hypopituitarism, either one of the pituitary gland hormones is decreased or the whole hormones are decreased in case of panhypopituitarism. In this table, each hormone deficiency symptoms are listed.[1]
References
- ↑ Fleseriu, Maria; Hashim, Ibrahim A.; Karavitaki, Niki; Melmed, Shlomo; Murad, M. Hassan; Salvatori, Roberto; Samuels, Mary H. (2016). "Hormonal Replacement in Hypopituitarism in Adults: An Endocrine Society Clinical Practice Guideline". The Journal of Clinical Endocrinology & Metabolism. 101 (11): 3888–3921. doi:10.1210/jc.2016-2118. ISSN 0021-972X.
- ↑ Burke, C.W. (1985). "Adrenocortical insufficiency". Clinics in Endocrinology and Metabolism. 14 (4): 947–976. doi:10.1016/S0300-595X(85)80084-0. ISSN 0300-595X.
- ↑ Bancos I, Hahner S, Tomlinson J, Arlt W (2015). "Diagnosis and management of adrenal insufficiency". Lancet Diabetes Endocrinol. 3 (3): 216–26. doi:10.1016/S2213-8587(14)70142-1. PMID 25098712.
- ↑ Murray RD, Columb B, Adams JE, Shalet SM (2004). "Low bone mass is an infrequent feature of the adult growth hormone deficiency syndrome in middle-age adults and the elderly". J Clin Endocrinol Metab. 89 (3): 1124–30. doi:10.1210/jc.2003-030685. PMID 15001597.
- ↑ Miller KK, Biller BM, Hier J, Arena E, Klibanski A (2002). "Androgens and bone density in women with hypopituitarism". J Clin Endocrinol Metab. 87 (6): 2770–6. doi:10.1210/jcem.87.6.8557. PMID 12050248.