An Unusual Case of Acute Adrenal Insufficiency
Keywords:Hypopituitarism, adrenal insufficiency, ESS (Empty Sella Syndrome), Levothyroxine
Empty Sella Syndrome (ESS) may be asymptomatic or manifested as features of multiple pituitary hormone deficiencies. In a patient of suspected hypopituitarism, multiple pituitary hormonal axes should be tested to rule out concomitant hormones deficiencies. In Hypopituitarism, treatment of hypoadrenalism should be undertaken first before giving levothyroxine replacement to prevent adrenal insufficiency.
Bangladesh Crit Care J September 2013; 1 (2): 107-108
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