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Karlmaður með lækkað natríum, slappleika og megrun vegna æxlis í heiladingli

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Authors
Guðni Arnar Guðnason
Sigríður Þórdís Valtýsdóttir
Trausti Valdimarsson
Stefán Þorvaldsson
Þorvaldur Magnússon
Issue Date
2012-04

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A 78 year-old man with hyponatremia, malaise and weight loss caused by a pituitary mass
Citation
Læknablaðið 2012, 98 (4):225-226
Abstract
A 78 year-old male was admitted for rehabilitation after a trans-tibial amputation three months earlier. Scheduled training with a prosthetic leg was postponed due to muscle atrophy and weakness. As the patient's status deteriorated, blood results showed worsening hyponatremia.Work-up revealed pituitary insufficiency caused by a pituitary mass. The patient's general health improved greatly and the hyponatremia corrected after hormonal replacement therapy with Hydrocortisone, Thyroxin and Testosterone was initiated.
Tæplega áttræður karlmaður var lagður inn á sjúkrahús til endurhæfingar eftir aflimun á fæti þremur mánuðum fyrr. Vegna vöðvarýrnunar og slappleika var fyrirhugaðri þjálfun með gervilim frestað. Líðan sjúklings hrakaði jafnt og þétt og rannsóknir sýndu meiri lækkun á natríum í sermi. Uppvinnsla leiddi í ljós skort á heiladingulshormónum sem reyndist stafa af æxli í heiladingli. Eftir að uppbótarmeðferð með kortisóli, þýroxíni og testósteróni var hafin lagaðist ástand sjúklings til muna og natríumgildi leiðréttust.
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Case of the month (Sjúkratilfelli mánaðarins) Articles in Icelandic

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