‘Houdini’s Pituitary:’ A Case Report of Regression of Pituitary Mass to Empty Sella in a 58-Year-Old Man with Autoimmune Hypophysitis

Authors

Keywords:

autoimmune hypophysitis, empty sella, hypopituitarism, older male, pituitary enlargement

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.

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Author Biographies

Cheow Peng Ooi, Universiti Putra

Lecturer in Medicine, Endocrinology Unit, Department of Medicine

Nor Azmi Kamaruddin, Pusat Perubatan Universiti Kebangsaan

Professor, Endocrinology Unit, Department of Medicine

Norlaila Mustafa, Pusat Perubatan Universiti Kebangsaan

Associate Professor, Endocrinology Unit, Department of Medicine

Thean Yean Kew, Pusat Perubatan Universiti Kebangsaan Malaysia

Lecturer, Radiology Department

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Published

2018-05-23

How to Cite

Ooi, C. P., Kamaruddin, N. A., Mustafa, N., & Kew, T. Y. (2018). ‘Houdini’s Pituitary:’ A Case Report of Regression of Pituitary Mass to Empty Sella in a 58-Year-Old Man with Autoimmune Hypophysitis. Journal of the ASEAN Federation of Endocrine Societies, 33(1), 69. Retrieved from https://asean-endocrinejournal.org/index.php/JAFES/article/view/454

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Case Reports

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