CLINICAL CASE OF SEVERE MYOCARDIAL DAMAGE IN A PATIENT WITH GIPOPITUITARISM
V.A. Sergeeva (1), E.V. Zhukova (2), L.R. Bogdalova (1), Yu.O. Kharkova (1)
1) Saratov State Medical University n.a. V.I. Razumovsky, Saratov, Russia;
2) Regional Clinical Hospital, Saratov, Russia
Background. Hypopituitarism – HP (pituitary insufficiency) is a disease caused by loss of function of tropic hormones (tropins) of the anterior lobe of the pituitary gland and manifested by a deficiency in the function of the peripheral endocrine glands. There are the following types of HP: isolated – reducing the secretion of one tropic hormone; partial – combined loss of function of several tropic hormones; and total (panhypopituitarism) and hypothalamic-pituitary insufficiency – a combination of HP and diabetes insipidus. Among the main causes of HP special mention should go to adenomas and tumors of the pituitary gland and hypothalamus or other parts of the central nervous system, congenital pituitary aplasia, sarcoidosis, tuberculosis, syphilis, inflammatory brain diseases, vascular disorders in the arteries supplying the pituitary gland and the hypothalamus. Description of the clinical case. The article presents a clinical observation of a patient with myocardial damage (probable infectious myocarditis) and HP. Conclusion. The lack of literature data and, accordingly, the lack of clinical experience in the management of such patients make this case unique.
Keywords: hypopituitarism, non-coronarogenic myocardial disease, myocarditis, dilated cardiomyopathy, heart failure
About the Autors
Corresponding author: V.A. Sergeeva – PhD, Teaching Assistant at the Department of Hospital Therapy of the Faculty of Medicine, Saratov State Medical University n.a. V.I. Razumovsky, Saratov, Russia; e-mail: firstname.lastname@example.org, ORCID: https://orcid.org/0000-0001-8737-4264