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A Case of Rathke’s Cleft Cyst Associated with Transient Central Adrenal Insufficiency and Masked Diabetes Insipidus
Joint Authors
Inoshita, Naoko
Asakawa, Masahiro
Chin, Rina
Niitsu, Yoshihiro
Sekine, Tetsuo
Niwa, Arisa
Miyake, Atsuko
Kawamura, Mitsunobu
Ogawa, Yoshihiro
Hirata, Yukio
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-11-06
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
A 73-year-old woman admitted to our hospital because of headache, poor appetite, malaise, weight loss, and vomiting was found to have central adrenal insufficiency and thyrotoxicosis due to silent thyroiditis.
Polyuria developed after replacement with glucocorticoid (masked diabetes insipidus), which was controlled with nasal administration of desmopressin.
Magnetic resonance imaging of the brain showed a large cystic pituitary mass (18 × 18 × 12 mm) extending suprasellarly to the optic chiasm.
Transsphenoidal surgery revealed that the pituitary tumor was Rathke’s cleft cyst.
Following surgery, replacement with neither glucocorticoid nor desmopressin was needed any more.
Therefore, it is suggested that Rathke’s cleft cyst is responsible for the masked diabetes insipidus and the central insufficiency.
Furthermore, it is speculated that thyrotoxicosis with painless thyroiditis might induce changes from subclinical adrenal insufficiency to transiently overt insufficiency.
American Psychological Association (APA)
Asakawa, Masahiro& Chin, Rina& Niitsu, Yoshihiro& Sekine, Tetsuo& Niwa, Arisa& Miyake, Atsuko…[et al.]. 2014. A Case of Rathke’s Cleft Cyst Associated with Transient Central Adrenal Insufficiency and Masked Diabetes Insipidus. Case Reports in Endocrinology،Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-1034712
Modern Language Association (MLA)
Asakawa, Masahiro…[et al.]. A Case of Rathke’s Cleft Cyst Associated with Transient Central Adrenal Insufficiency and Masked Diabetes Insipidus. Case Reports in Endocrinology No. 2014 (2014), pp.1-6.
https://search.emarefa.net/detail/BIM-1034712
American Medical Association (AMA)
Asakawa, Masahiro& Chin, Rina& Niitsu, Yoshihiro& Sekine, Tetsuo& Niwa, Arisa& Miyake, Atsuko…[et al.]. A Case of Rathke’s Cleft Cyst Associated with Transient Central Adrenal Insufficiency and Masked Diabetes Insipidus. Case Reports in Endocrinology. 2014. Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-1034712
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1034712