This case is about a 68 years old patient presented with worsening generalized weakness, dizziness, low mood and reduced appetite with the background history of gout and vitamin D deficiency. On general examination, the patient appeared very lethargic. However, the systemic examination was unremarkable. The vitals check showed a low blood pressure of 104/72 mm Hg. The investigations showed low levels of serum Sodium, Thyroid stimulating hormone, Cortisol. The short Synacthen test was abnormal. The anterior pituitary hormones level showed low levels of Follicle stimulating hormone, Luteinizing hormone and prolactin. CT head with contrast showed enlarged fluid filled pituitary fossa with fat. An MRI Pituitary gland showed an empty sella syndrome. The patient was hydrated initially and electrolytes were monitored regularly. Treated with hydrocortisone and thyroxine to which the patient responded and improved significantly. A follow-up appointment was arranged at endocrine clinic

A 63 year old female patient presented with one week history of reduced appetite, weakness, nausea, polyuria and occasional vomiting on a back ground of recurrent urinary tract infection and hypothyroidism. She appeared lethargic and dehydrated. The arterial blood gas showed a picture of diabetic ketoacidosis (DKA) which was treated according to the protocol. Viral polymerase chain reaction (PCR) for COVID-19 was positive. The diagnosis of new onset type one diabetes made on the basis of specific antibodies test. Computerized Tomography (CT) of abdomen excluded pancreatic cancer as a cause of new onset diabetes. Hence, the patient was labelled as type one diabetes mellitus induced by COVID-19 virus. She was treated accordingly and sent home on insulin. Follow-up appointment was arranged in the diabetes center of the hospital.