[Acquired corticotropin insufficiency in adults. 2 new cases].
We report two new cases of isolated corticotropin deficiency, associated with TSH deficiency in one of the two patient. The diagnostic was made difficult because the symptoms were mainly psychiatric. Low plasmatic cortisol and ACTH level were found, with low T3, T4 and TSH in the second patient. The TSH did not respond to the stimulation by TRH. The cerebral tomodensitometry and magnetic resonance imaging focused on the sella turcica were normal, eliminated a tumor and showed an empty sella turcica. The patients have to be followed-up because an isolated deficiency may further complete to panhypopituitarism.
Veyssier-Belot
C
C
Service de médecine interne, CHU Pitié-Salpêtrière, Paris, France.
Wechsler
B
B
Doumith
R
R
Richard
C
C
Cousin
P
P
Godeau
P
P
D000324:Adrenocorticotropic Hormone / Q000172:deficiency*; D000328:Adult; D005260:Female; D006801:Humans; D007018:Hypopituitarism / Q000150:complications / Q000175:diagnosis; D001523:Mental Disorders / Q000209:etiology; D008875:Middle Aged; D013972:Thyrotropin / Q000172:deficiency*
D000324:Adrenocorticotropic Hormone; D013972:Thyrotropin
Insuffisance corticotrope acquise de l'adulte. Deux nouveaux cas.