Hormonally inactive pituitary adenoma in adolescence. A case report
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Abstract
The paper presents a clinical case of pituitary incidentaloma which manifested as hypogonadism, hyposomatotropism with development of adrenal insufficiency. Results of laboratory tests of the patient after 8-month follow-up and treatment: TSH 0,088 mcIU/ml (0,34–4,6), cortisol 0,627 Ug/dl (6,2–19,4), fT4 1,26 ng/dl (0,93–1,71), fT3 2,79 pg/dl (2,02–4,44), FSH 0,223 mIU/ml (1,5–12,4), LH <0,100 mIU/ml (1,7–8,6), prolactin 26,6 ng/ml (1,2–29,93), testosterone overall 12,7 ng/ml (1,93–8,36), daily urinary free cortisol excretion 297 mcg/24 h (28,5–213,7) IGF-I 99,5 ng/ml (163–584). The MRI visualization of the tumor was presented. It is concluded that the first signs of a pituitary tumor there was a delay of puberty. Late diagnosis of pituitary tumors led to the development of severe complications in the form of adrenal insufficiency.
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