書誌事項
- タイトル別名
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- Panhypopituitarism Caused by an Intrasellar Cystic Mass in Late-Onset Hypogonadism Clinic
- ダンセイ コウネンキ ガイライ ジュシン オ ケイキ ニ ハッケン サレタ アンジョウブノウホウセイ シュヨウ ニ ヨル ハンカスイタイ キノウ テイカショウ ノ 1レイ
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A 74-year-old man who was referred to our late onset hypogonadism clinic presented with sweating and loss of appetite. His aging males' symptoms (AMS) and international index of erectile function (IIEF-5) scores were 59 and 2, respectively. His hormonal examination revealed extremely low free testosterone values. The patient was started on androgen replacement therapy, but his symptoms did not improve. Additional hormonal examinations revealed low values for other anterior pituitary hormones. Magnetic resonance imaging revealed an intrasellar cystic mass with suprasellar extension. We considered this mass caused hypothalamic hypopituitarism. A load test for anterior pituitary hormones revealed panhypogonadism. His symptoms improved after administration of adrenal and thyroid hormones and androgen. Five months after start of drug administration, his AMS score improved to 29, but IIEF-5 score showed little change. As a matter of course, not only androgen but all pituitary-related hormones are needed for hypopituitarism patients.
収録刊行物
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- 泌尿器科紀要
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泌尿器科紀要 59 (10), 683-686, 2013-10
泌尿器科紀要刊行会
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詳細情報 詳細情報について
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- CRID
- 1050282810754690816
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- NII論文ID
- 120005347150
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- NII書誌ID
- AN00208315
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- ISSN
- 00181994
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- HANDLE
- 2433/179514
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- NDL書誌ID
- 024951544
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- 本文言語コード
- ja
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- 資料種別
- departmental bulletin paper
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- データソース種別
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- IRDB
- NDL
- CiNii Articles