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10 Possible Causes for Fasting Hypoglycemia, Loss of Axillary Hair, Midline Defects

  • Panhypopituitarism

    CONCLUSION: These data demonstrate that homozygous HESX1 mutation causing an R160H substitution can result in panhypopituitarism without midline defects.[ncbi.nlm.nih.gov] Nonspecific symptoms are most frequently seen in the form of exercise intolerance, abdominal pain, loss of axillary and pubic hair weakness or fatigue, Increase in weight,[symptoma.com] We report on a neonate with unexplained heart failure and minor physical anomalies, suggesting a midline defect. She was diagnosed with complete CPHD.[ncbi.nlm.nih.gov]

  • Anterior Pituitary Hypofunction

    It is characterized by congenital hypogonadotropic hypogonadism and anosmia, possibly with additional midline defects.[icd10data.com] […] of pubic and axillary hair Atrophy of breast and Testis What are the steps in evaluating anterior pituitary hypofunction?[meddean.luc.edu] A genetically heterogeneous disorder caused by hypothalamic gnrh deficiency and olfactory nerve defects.[icd10data.com]

  • Pituitary Dwarfism

    It is also sometimes seen in children with midline defects such as cleft palate.[the-medical-dictionary.com] […] of axillary and pubic hair In women: cessation of menstruation (amenorrhea), breast atrophy, vaginal dryness, absence of milk production in new mothers (Sheehan’s syndrome[healthcommunities.com] It is characterized by congenital hypogonadotropic hypogonadism and anosmia, possibly with additional midline defects.[icd10data.com]

  • Adrenal Insufficiency Secondary to Hypopituitarism

    Because of impaired gluconeogenesis, hypoglycemia may be present particularly with fasting or alcohol ingestion, and hyponatremia is common due to inappropriate secretion[ocw.tufts.edu] Neonates Hypoglycemia Micropenis Conjugated hyperbilirubinemia Adrenal crisis secondary to hypocortisolism (vomiting, hypotension) Failure to thrive Midline defects (cleft[clinicaladvisor.com] Loss of pubic or axillary hair in women, delayed puberty in children.[patient.info]

  • Congenital Isolated ACTH Deficiency

    hypoglycemia Low blood sugar when fasting 0003162 Infantile onset Onset in first year of life Onset in infancy [ more ] 0003593 Seizures Seizure 0001250 Showing of 15 Last[rarediseases.info.nih.gov] Neonates who have congenital defects of the pituitary or hypothalamus may have hypoglycemia (which also can occur in older children), midline defects (eg, cleft palate), or[merckmanuals.com] […] and decreased axillary and pubic hair.[en.wikipedia.org]

  • Hypopituitarism

    Patients may present with fasting hypoglycemia due to loss of the gluconeogenic effect of GH, which counteracts the effect of insulin.[emedicine.com] , eye anomalies, and midline/ventral defects).[ncbi.nlm.nih.gov] […] of axillary and pubic hair In women: cessation of menstruation (amenorrhea), breast atrophy, vaginal dryness, absence of milk production in new mothers (Sheehan’s syndrome[healthcommunities.com]

  • Suprasellar Tumor

    A normal fasting serum growth hormone level is less than 5 ng/mL.[glowm.com] However, the field defect in tilted-disc syndrome is unchanging and does not respect the vertical midline, whereas the field defects in chiasm-compressive lesions are progressive[emedicine.medscape.com] Physical examination revealed axillary and groin hair loss, hypogonadism, orthostatic hypotension, and a possible mild bitemporal visual field deficit.[ajnr.org]

  • Rabson Mendenhall Syndrome

    At birth, the patient had fasting hypoglycemia and postprandial hyperglycemia.[ncbi.nlm.nih.gov] However, the field defect in tilted-disc syndrome is unchanging and does not respect the vertical midline, whereas the field defects in chiasm-compressive lesions are progressive[emedicine.medscape.com] Those that are caused by increased prolactin levels are amenorrhoea/galactorrhea in females, hypogonadism, gynecomastia and erectile dysfunction in males, and loss of axillary[ijem.in]

  • Posterior Pituitary Disease

    Because of impaired gluconeogenesis, hypoglycemia may be present particularly with fasting or alcohol ingestion, and hyponatremia is common due to inappropriate secretion[ocw.tufts.edu] […] is temporal with a midline hemianopic character; if only the macular crossed fibres are affected the field defect is paracentral and temporal.[jnnp.bmj.com] Signs of chronic pituitary insufficiency include: Hypogonadism Sparse axillary and pubic hair Loss of sexual function Cessation of mentrual cycle in women Erectile dyfunction[medicine.georgetown.edu]

  • Combined Pituitary Hormone Deficiency 6

    Because of impaired gluconeogenesis, hypoglycemia may be present particularly with fasting or alcohol ingestion, and hyponatremia is common due to inappropriate secretion[ocw.tufts.edu] McCabe MJ, Alatzoglou KS, Dattani MT: Septo-optic dysplasia and other midline defects: the role of transcription factors: HESX1 and beyond.[karger.com] Other symptoms such as anorexia, nausea, vomiting, abdominal pain, weight loss, sudden collapse, loss of axillary and pubic hair may also be present.[explainmedicine.com]

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