Diagnosis and Treatment of Hypopituitarism

Hypopituitarism is a chronic endocrine illness that caused by varied etiologies. Clinical manifestations of hypopituitarism are variable, often insidious in onset and dependent on the degree and severity of hormone deficiency. However, it is associated with increased mortality and morbidity. Therefo...

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Main Author: Seong Yeon Kim
Format: Article
Language:English
Published: Korean Endocrine Society 2015-12-01
Series:Endocrinology and Metabolism
Subjects:
Online Access:http://e-enm.org/Synapse/Data/PDFData/2008ENM/enm-30-443.pdf
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author Seong Yeon Kim
author_facet Seong Yeon Kim
author_sort Seong Yeon Kim
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description Hypopituitarism is a chronic endocrine illness that caused by varied etiologies. Clinical manifestations of hypopituitarism are variable, often insidious in onset and dependent on the degree and severity of hormone deficiency. However, it is associated with increased mortality and morbidity. Therefore, early diagnosis and prompt treatment is necessary. Hypopituitarism can be easily diagnosed by measuring basal pituitary and target hormone levels except growth hormone (GH) and adrenocorticotropic hormone (ACTH) deficiency. Dynamic stimulation tests are indicated in equivocal basal hormone levels and GH/ACTH deficiency. Knowledge of the use and limitations of these stimulation tests is mandatory for proper interpretation. It is necessary for physicians to inform their patients that they may require lifetime treatment. Hormone replacement therapy should be individualized according to the specific needs of each patient, taking into account possible interactions. Long-term endocrinological follow-up of hypopituitary patients is important to monitor hormonal replacement regimes and avoid under- or overtreatment.
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spelling doaj.art-94d127e244ff4b368bf2162ea23fc3d82022-12-21T23:28:38ZengKorean Endocrine SocietyEndocrinology and Metabolism2093-596X2093-59782015-12-0130444345510.3803/EnM.2015.30.4.44320844Diagnosis and Treatment of HypopituitarismSeong Yeon KimHypopituitarism is a chronic endocrine illness that caused by varied etiologies. Clinical manifestations of hypopituitarism are variable, often insidious in onset and dependent on the degree and severity of hormone deficiency. However, it is associated with increased mortality and morbidity. Therefore, early diagnosis and prompt treatment is necessary. Hypopituitarism can be easily diagnosed by measuring basal pituitary and target hormone levels except growth hormone (GH) and adrenocorticotropic hormone (ACTH) deficiency. Dynamic stimulation tests are indicated in equivocal basal hormone levels and GH/ACTH deficiency. Knowledge of the use and limitations of these stimulation tests is mandatory for proper interpretation. It is necessary for physicians to inform their patients that they may require lifetime treatment. Hormone replacement therapy should be individualized according to the specific needs of each patient, taking into account possible interactions. Long-term endocrinological follow-up of hypopituitary patients is important to monitor hormonal replacement regimes and avoid under- or overtreatment.http://e-enm.org/Synapse/Data/PDFData/2008ENM/enm-30-443.pdfHypopituitarismAdrenocorticotropic hormone deficiencyThyrotropin deficiencyGonadotropin deficiencyGrowth hormone deficiencyAnti-diuretic hormone deficiency
spellingShingle Seong Yeon Kim
Diagnosis and Treatment of Hypopituitarism
Endocrinology and Metabolism
Hypopituitarism
Adrenocorticotropic hormone deficiency
Thyrotropin deficiency
Gonadotropin deficiency
Growth hormone deficiency
Anti-diuretic hormone deficiency
title Diagnosis and Treatment of Hypopituitarism
title_full Diagnosis and Treatment of Hypopituitarism
title_fullStr Diagnosis and Treatment of Hypopituitarism
title_full_unstemmed Diagnosis and Treatment of Hypopituitarism
title_short Diagnosis and Treatment of Hypopituitarism
title_sort diagnosis and treatment of hypopituitarism
topic Hypopituitarism
Adrenocorticotropic hormone deficiency
Thyrotropin deficiency
Gonadotropin deficiency
Growth hormone deficiency
Anti-diuretic hormone deficiency
url http://e-enm.org/Synapse/Data/PDFData/2008ENM/enm-30-443.pdf
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