Alevizaki Maria, Moulopoulos Lia-Angela, Mantzos Emily, Koutras Demetrios A
Endocrine Units, "Evgenidion" Hospital, Department of Clinical Therapeutics, ALEXANDRA Hospital, Athens, Greece.
Hormones (Athens). 2002 Jul-Sep;1(3):188-91. doi: 10.14310/horm.2002.116.
A patient with undiagnosed pituitary insufficiency who also had a toxic thyroid adenoma is presented. The T3 secreted by the adenoma apparently corrected the secondary thyroid failure, but also aggravated the secondary adrenal failure and almost precipitated adrenal crisis. The diagnostic work-up in such an unusual co-existence is discussed, in particular since the clinical diagnosis of pituitary insufficiency in the elderly is not easily established.
本文介绍了一位患有未确诊垂体功能减退症且伴有毒性甲状腺腺瘤的患者。腺瘤分泌的T3显然纠正了继发性甲状腺功能减退，但同时也加重了继发性肾上腺功能减退，并几乎引发了肾上腺危象。本文讨论了这种不寻常并存情况的诊断检查，尤其是考虑到老年人垂体功能减退的临床诊断不易确立。
