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Cholestasis and hypercalcemia secondary to panhypopituitarism in a newborn
Fatma Dursun1, Nelgin Gerenli2, Heves Kırmızıbekmez1
1Departments of Pediatric Endocrinology, Ümraniye Training and Research Hospital, İstanbul, Turkey.
Insights
Congenital hypopituitarism can present with rare symptoms like cholestasis and hypercalcemia in newborns. Early diagnosis is crucial, as these signs may indicate a delayed diagnosis of this endocrine disorder.
Area of Science:
- Pediatric Endocrinology
- Neonatal Medicine
- Hepatology
Background:
- Congenital hypopituitarism is a rare endocrine disorder in newborns.
- Typical symptoms include hypoglycemia, prolonged jaundice, and micropenis.
- Diagnosis is often delayed due to the rarity of presenting symptoms.
Observation:
- A case of congenital hypopituitarism presenting with cholestasis and hypercalcemia is reported.
- Cholestatic hepatitis and hypercalcemia are uncommon manifestations of neonatal hypopituitarism.
- These symptoms can mimic other neonatal conditions, complicating diagnosis.
Findings:
- The study highlights a rare association between congenital hypopituitarism and cholestasis with hypercalcemia.
- This presentation underscores the diagnostic challenges in neonatal endocrine disorders.
- Early recognition of these atypical signs is vital for timely intervention.
Implications:
- Neonatal cholestasis and hypercalcemia warrant consideration of congenital hypopituitarism.
- Prompt endocrinological evaluation is recommended for newborns with these symptoms.
- This case broadens the understanding of hypopituitarism's clinical spectrum in neonates.
Abstract:
Dursun F, Gerenli N, Kırmızıbekmez H. Cholestasis and hypercalcemia secondary to panhypopituitarism in a newborn. Turk J Pediatr 2017; 59: 100-103. Cholestatic hepatitis and hypercalcemia are rare features of hypopituitarism in newborns. So diagnosis of hypopituitarism is frequently delayed. The most frequent symptoms of congenital hypopituitarism are hypoglycemia, prolonged jaundince and micropenis. A patient with congenital hypopituitarism associated with cholestasis and hypercalcemia is reported here. Newborns with hypercalcemia and cholestasis should alert pediatricians to the possibility of congenital hypopituitarism and prompt endocrinological investigation.
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