病例报告：原发性空蝶鞍导致继发性肾上腺功能不全及严重但无症状的低钠血症。
Case report: Primary empty Sella causing secondary adrenal insufficiency and severe yet asymptomatic hyponatremia.
作者信息
Lah Siehoon, Wahab Almas, Wakil Ammar
机构信息
Gosford Hospital Gosford NSW Australia.
Royal North Shore Hospital St Leonards NSW Australia.
出版信息
Clin Case Rep. 2022 Aug 8;10(8):e6125. doi: 10.1002/ccr3.6125. eCollection 2022 Aug.
Abstract
A 61-year-old man presented with incidental hyponatraemia to 118 mmol/L, to which he was asymptomatic. Diagnostic workup revealed a partially empty sella turcica on magnetic resonance imaging. He had associated secondary adrenal insufficiency but other hormonal axes were relatively unaffected. Treatment with cortisol replacement promptly resolved the hyponatraemia.
摘要
一名61岁男性因偶然发现血钠水平降至118 mmol/L就诊，他对此并无症状。诊断性检查发现磁共振成像显示蝶鞍部分空泡化。他同时伴有继发性肾上腺功能不全，但其他激素轴相对未受影响。使用皮质醇替代治疗后，低钠血症迅速得到缓解。
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