Summary
Necrosis and hemorrhage have been observed in the anterior lobe of the pituitary glands of humans who died in the acute stage of hemorrhage fever with renal syndrome (HFRS). This suggests that patients in the acute stage of this severe disease may have had pituitary apoplexy and subsequent residual pituitary hypofunction. We report an acute case of HFRS with panhypopituitarism, no response to a combined anterior pituitary stimulation test, and with pituitary hemorrhage detected by magnetic resonance imaging.
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References
Kim D (1965) Clinical analysis of 111 fatal cases of epidemic hemorrhagic fever. Am J Med 39: 218–220
Lee JS (1985) Korean hemorrhagic fever: hemorrhagic fever with renal syndrome. Inje Med J 6: 23–36 (in Korean)
Lee JS, Ahn C, Oh HY, Kim S, Lee M, Kim YI (1986) Panhypopituitarism and central diabetes insipidus as a complication of hemorrhagic fever with renal syndrome. Seoul J Med 27: 53–58
Lee M (1986) Korean hemorrhagic fever: hemorrhagic fever with renal syndrome, 2nd edn. Seoul National University Press, Seoul (in Korean)
Lim TH, Chang KH, Han MC, Chang YB, Lim SM, Yu YS, Chun YH, Lee JS (1986) Pituitary atrophy in Korean hemorrhagic fever. AJNR 7: 633–637
Lukes RJ (1954) Pathology of thirty-nine fatal cases of epidemic hemorrhagic fever. Am J Med 16: 639–650
Mayer CF (1952) Epidemic hemorrhagic fever of the far east or endemic hemorrhagic nephrosonephritis: morphology and pathogenesis. Lab Invest 1: 291–311
Steer A (1955) Pathology of hemorrhagic fever: a comparison of findings 1951 and 1952. Am J Pathol 31: 201–221
Whale GH, McKay DG (1955) Panhypopituitarism following epidemic hemorrhagic fever: pathologic findings. Ann Intern Med 43: 1320–1330
Zoeckler SJ, Orbinson JA (1955) Panhypopituitarism following epidemic hemorrhagic fever: clinical feature: report of a case. Ann Intern Med 43: 1316–1319
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© 1990 Springer-Verlag
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Lee, J.S., Han, J.S., Kim, S., Chang, KH. (1990). Panhypopituitarism in the acute stage of hemorrhagic fever with renal syndrome: a case report. In: Calisher, C.H. (eds) Hemorrhagic Fever with Renal Syndrome, Tick- and Mosquito-Borne Viruses. Archives of Virology Supplementum, vol 1. Springer, Vienna. https://doi.org/10.1007/978-3-7091-9091-3_12
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DOI: https://doi.org/10.1007/978-3-7091-9091-3_12
Publisher Name: Springer, Vienna
Print ISBN: 978-3-211-82217-3
Online ISBN: 978-3-7091-9091-3
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