Journal List > J Korean Soc Endocrinol > v.20(2) > 1063776

Hong, Lee, Park, Yoon, Mok, Kim, Park, Kim, Kim, Kim, Byun, Suh, and Yoo: A Case of Panhypopituitarism with Rhabdomyolysis

Abstract

Rhabdomyolysis is the consequence of extensive muscle injury with the release of muscle cell constituents into plasma. It can arise from trauma and also from a variety of nontraumatic causes. Trauma, drugs, toxins and infection are the major causes of rhabdomyolysis, but it is rarely associated with metabolic disorders such as severe electrolyte disturbance, diabetic ketoacidosis, hyperosmolar nonketotic coma, hypothyroidism and thyrotoxicosis. There have been several reported cases of metabolic rhabdomyolysis, but panhypopituitarism as a cause has never been identified. We experienced a case of acute rhabdomyolysis associated with panhypopituitarism. Thus, So we report this case with the review of related literature. Metabolic disorder is a rare cause of rhabdomyolysis, but it should always be considered in a patient having and unexplained increased of the creatine kinase concentration.

Figures and Tables

Fig. 1
Abdominal CT Scan shows mild to moderate pericardial effusion.
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Fig. 2
Sellar MRI shows bulging and empty of sella turcica.
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Fig. 3
Whole body bone scan shows diffuse increased soft tissue uptake.
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Table 1
The Result of Combined Pituitary Stimulation Test
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