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Hyponatraemia and hypopituitarism: an easily missed entity

Melissa H Lee, Genevieve L Calder, Richard J MacIsaac and Nirupa Sachithanandan
Med J Aust 2017; 207 (7): . || doi: 10.5694/mja16.00921
Published online: 2 October 2017

Clinical record


  • 1 St Vincent's Hospital, Melbourne, VIC
  • 2 University of Melbourne, Melbourne, VIC


Correspondence: melissa.lee@svha.org.au

Acknowledgements: 

We thank Xavier Yu of St Vincent’s Hospital, Melbourne, for his assistance in reviewing and providing the magnetic resonance images for this article.

Competing interests:

No relevant disclosures.

  • 1. Spasovski G, Vanholder R, Allolio B, et al. Clinical practice guideline on diagnosis and treatment of hyponatraemia. Eur J Endocrinol 2014; 170: G1-G47.
  • 2. Smith JC. Hormone replacement therapy in hypopituitarism. Expert Opin Pharmacother 2004; 5: 1023-1031.
  • 3. Guitelman M, Garcia Basavilbaso N, Vitale M, et al. Primary empty sella (PES): a review of 175 cases. Pituitary 2013; 16: 270-274.
  • 4. Diederich S, Franzen NF, Bähr V, Oelkers W. Severe hyponatremia due to hypopituitarism with adrenal insufficiency: report on 28 cases. Eur J Endocrinol 2003; 148: 609-617.
  • 5. Bornstein SR, Allolio B, Arlt W, et al. Diagnosis and treatment of primary adrenal insufficiency: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab 2016; 101: 364-389.
  • 6. Jung C, Inder WJ. Management of adrenal insufficiency during the stress of medical illness and surgery. Med J Aust 2008; 188: 409-413. <MJA full text>

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