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Panhypopituitarism and Central Diabetes Insipidus as a Complication of Hemorrhagic Fever with Renal Syndrome(Korean Hemorrhagic Fever)
신증후출혈열(한국형출혈열)에 병발된 뇌하수체 전·후엽 기능부전증

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Authors
Lee, Jung Sang; Ahn, Curie; Oh, Ha Young; Kim, Suhnggwon; Lee, Munho; Kim, Yong Il
Issue Date
1986-03
Publisher
Seoul National University College of Medicine
Citation
Seoul J Med, Vol.27 No.1, pp. 53-58
Keywords
Hemorrhagic fever with renal syndromeDiabetes insipidusPanhypopituitarism
Abstract
Panhypopituitarism and diabetes insipidus of the central type developed in a
32-year-old male patient with hemorrhagic fever with renal syndrome confirmed by indirect
immunofluorescent test.
Visual disturbance, loss of consciousness and neck stiffness developed during the early
course of the illness followed by persistent polyuria. Combined anterior pituitary function tests
showed no response in all anterior pituitary hormones. The sella CT illustrated the features of
a partial empty sella. Diagnosis of diabetes insipidus was based on water deprivation and
pitressin tests.
Although pituitary necrosis was observed almost in all cases of hemorrhagic fever with renal
syndrome at autopsy, 10 reports dealt with cases complicated by panhypopituitarism. To our
knowlege, no case of central diabetes insipidus as a complication has been reported yet, so
this seems to be the first.
ISSN
0582-6802
Language
English
URI
https://hdl.handle.net/10371/5494
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College of Medicine/School of Medicine (의과대학/대학원)Dept. of Medicine (의학과)The Seoul Journal of MedicineThe Seoul Journal of Medicine Vol. 27 No.1 (1986)
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