When a "Low T" Diagnosis Can Be the Clue to a More Complex Problem

Male hypogonadism remains a poorly evaluated and managed clinical condition despite the availability of clinical guidelines. We present a case of a male patient diagnosed with secondary hypogonadism related to partial empty sella syndrome, whose clinical course was complicated by a hypotensive near-...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2023-12, Vol.15 (12), p.e51215
Main Authors: Dumitrascu, Adrian G, Chindris, Ana-Maria, Matei, Claudiu, Chirila, Razvan M
Format: Article
Language:English
Subjects:
Blood pressure
Cardiac arrhythmia
Cardiac stress tests
Case reports
Emergency medical care
Endocrinology/Diabetes/Metabolism
Growth hormones
Heart rate
Hemoglobin
Hyponatremia
Hypotension
Internal Medicine
Magnetic resonance imaging
Medical diagnosis
Medical screening
Neurology
Patients
Primary care
Sodium
Testosterone
Thyroid gland
Urine
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Description
Summary:Male hypogonadism remains a poorly evaluated and managed clinical condition despite the availability of clinical guidelines. We present a case of a male patient diagnosed with secondary hypogonadism related to partial empty sella syndrome, whose clinical course was complicated by a hypotensive near-syncopal event. Although initial hypopituitarism symptoms could be subtle and nonspecific and could involve only one hormonal axis, a thorough evaluation of the pituitary function may identify additional deficiencies such as a subclinical chronic adrenal insufficiency that may become manifest during situations of increased physiological stress with potential life-threatening consequences.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.51215