Dudognon P, Gamerman H, Fallourd P, Romeo R
Sem Hop. 1978;54(45-46):1494-7.
The diagnosis of anterior pituitary insufficiency is difficult in the elderly and frequently made when the patient become comatose. At this age hypoglycemia is rarely the exclusive factor of this coma. The authors report a case revealed by hypoglycemic coma and supported by the lack of stimulation by the releasing factors. None etiology was found. With hormone treatment the patient recovered a normal life.
垂体前叶功能减退症在老年人中诊断困难,常在患者昏迷时才得以确诊。在这个年龄段,低血糖很少是导致昏迷的唯一因素。作者报告了一例以低血糖昏迷为首发表现且有释放因子刺激试验缺乏支持的病例。未发现病因。经激素治疗后,患者恢复了正常生活。