Text

Pituitary Apoplexy Due to Thyroxine Therapy in a Patient with Congenital Hypothyroidism

---

A 24-year-old woman was admitted with general weakness, umbilical swelling, developmental delay, speech disorder, constipation, gait problem. Her findings were umbilical hernia, xerosis, dry hair, and short stature. After thyroxine treatment, she also had headache, vomiting, and palpitation, lack of appetite, and sleep disturbance. Pituitary magnetic resonance imaging revealed a heterogeneous mass at the central part of the gland on coronal section and it was interpreted as pituitary apoplexy. In the current case, the patient with congenital hypothyroidism (CH) developed pituitary apoplexy (PA) after thyroxine therapy. Therefore, it is suggested that the complaints were related to PA rather than adrenal insufficiency. Here we describe a case report evaluating PA in a patient with thyrotrophic pituitary adenoma due to CH. To the best of our knowledge, this is the first case in terms of PA associated with CH after thyroxine therapy in the literature.
Key words: congenital hypothyroidism, pituitary apoplexy, thyroxine therapy

---

Availability

Detail Information

Series Title

-

Call Number

acta Medica Indonesiana, 45 (4) 2012 : 306-311

Publisher

: FKUI.,

Collation

6p

Language

ISBN/ISSN

0125-9326

Classification

-

Content Type

-

Media Type

-

Carrier Type

-

Edition

-

Subject(s)

CONGENITAL HYPOTHYROIDISM
THYROXINE-THERAPY

Specific Detail Info

-

Statement of Responsibility

-

Other version/related

File Attachment

Comments

---

You must be logged in to post a comment