Abstract:A 78-year-old woman was admitted with diarrhea, abnormal fatigue, and depression. Routine diagnostic tests were to a large extent without pathological findings. Suppressed TSH was initially considered as subclinical hyperthyreosis because of substitution with L-thyroxin. The endocrinological diagnostics showed hypopituitarism because of an empty sella. After substitution with hydrocortisone and adapted L-thyroxin the patient recovered promptly. Diarrhea, abnormal fatigue, and depression might be hints for hypo… Show more
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