[A 78-year-old woman suffering from diarrhea, abnormal fatigue, and depression].
A 78-year-old woman was admitted with diarrhea, abnormal fatigue, and depression. Routine diagnostic tests were to a large extent without pathological findings. Suppressed TSH was initially considered as subclinical hyperthyreosis because of substitution with L-thyroxin. The endocrinological diagnostics showed hypopituitarism because of an empty sella. After substitution with hydrocortisone and adapted L-thyroxin the patient recovered promptly. Diarrhea, abnormal fatigue, and depression might be hints for hypopituitarism with hypocortisolism.
Hochhausen
C
C
Abteilung Innere Medizin, Bundeswehrkrankenhaus Bad Zwischenahn/Westerstede, Elmendorfer Strasse 65, 26160 Bad Zwischenahn. Christianhochhausen@web.de
Schumann
U
U
D000368:Aged; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D003863:Depression / Q000175:diagnosis* / Q000209:etiology* / Q000517:prevention & control; D003937:Diagnosis, Differential; D003967:Diarrhea / Q000175:diagnosis* / Q000209:etiology* / Q000517:prevention & control; D005221:Fatigue / Q000175:diagnosis* / Q000209:etiology* / Q000517:prevention & control; D005260:Female; D006801:Humans; D006854:Hydrocortisone / Q000008:administration & dosage; D007018:Hypopituitarism / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D013974:Thyroxine / Q000008:administration & dosage; D016896:Treatment Outcome
D000893:Anti-Inflammatory Agents; D013974:Thyroxine; D006854:Hydrocortisone