An unusual pituitary mass presenting with panhypopituitarism and hyponatraemia
- S U Pitalea,
- J M Leeb,
- T Origitanoc,
- N V Emanuelea
- aLoyola University Medical Center, Maywood, Illinois, USA: Division of Endocrinology, bDepartment of Pathology, cDepartment of Neurosurgery
- Dr Shailesh U Pitale, Division of Endocrinology, Building 117, Room 11, Loyola University Medical Center, 2160 South First Avenue, Maywood, IL 60153, USAspitale{at}luc.edu
- Received 20 December 1999
- Accepted 22 March 2000
Answers on p 539.
A 72 year old Asian man was transferred to our institution for work-up of hyponatraemia and an intrasellar mass. At an outside hospital, the patient presented with a fever of 40oC (104oF) and mental status changes. The patient had been exposed to ill children and reported symptoms of upper respiratory tract infection a week before presentation. On admission to the outside hospital, he had a serum sodium of 133 mmol/l which decreased to 125 mmol/l with onset of mental confusion. Lumbar puncture findings were normal. Computed tomography of the head done at that point showed a 2.1 cm sellar mass with …
