2020
DOI: 10.14740/jem686
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Adrenal Insufficiency due to Total Primary Empty Sella Syndrome

Abstract: A 64-year-old woman was transported suffering from persistent lower abdominal pain, vomiting, and low-grade fever. Magnetic resonance imaging revealed an empty sella (ES) and hormone tests revealed a disappearance of diurnal variation of cortisol, low cortisol and adrenocorticotropic hormone (ACTH) secretion especially in the morning, and poor ACTH-cortisol axis reaction, as well as normal hypothalamus-pituitary gland-thyroid or adrenal gland axis hormone reaction. The cause of ES remained unclear; however, ba… Show more

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“…The condition can be categorized as primary, which originates in the thyroid gland, or secondary/central, which results from issues in the hypothalamus or pituitary gland. Subclinical hypothyroidism is a subtype of primary hypothyroidism, characterized by elevated TSH levels despite normal blood free T4 and T3 levels [1].…”
Section: Introductionmentioning
confidence: 99%
“…The condition can be categorized as primary, which originates in the thyroid gland, or secondary/central, which results from issues in the hypothalamus or pituitary gland. Subclinical hypothyroidism is a subtype of primary hypothyroidism, characterized by elevated TSH levels despite normal blood free T4 and T3 levels [1].…”
Section: Introductionmentioning
confidence: 99%