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Hypopituitarism in the elderly in the presence of elevated thyroid stimulating hormone levels.
  1. T. Beringer,
  2. B. McClements,
  3. I. Weir,
  4. D. Gilmore,
  5. L. Kennedy
  1. Geriatric Medical Unit, Royal Victoria Hospital, Belfast, UK.

    Abstract

    Two cases of primary hypothyroidism with hypopituitarism in elderly patients are reported. The elevated levels of thyroid stimulating hormone led to delay in the recognition of accompanying pituitary failure. Elderly patients should not be commenced on thyroxine replacement therapy until the possibility of hypopituitarism and cortisol deficiency has been excluded.

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