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Evidence for a Hypothalamic Defect in Septo-optic Dysplasia
Peter W. Wilson, MD;
Ronald B. Easley, PhD, MD;
Franklyn F. Bolander, PhD, MD;
Charles B. Hammond, MD
Arch Intern Med. 1978;138(8):1276-1277.
Abstract
A 21-year-old man demonstrated septo-optic dysplasia. Optic and retinal colobomas were present and panhypopituitarism was documented. Releasing hormone studies showed partial luteinizing hormone (LH) response and no follicle-stimulating hormone response to administration of gonadorelin (LH-releasing hormone); thyroid-stimulating hormone (TSH) and prolactin levels were increased normally after administration of protirelin (thyrotropin-releasing hormone). The LH, TSH, and prolactin responses are believed to be evidence of intact pituitary function and suggest that a hypothalamic defect accounts for the hypopituitarism.
(Arch Intern Med 138:1276-1277, 1978)
Author Affiliations
From the Division of Endocrinology, Department of Medicine (Drs Wilson, Easley, and Bolander), and the Department of Obstetrics and Gynecology (Dr Hammond), Duke University Medical Center, Durham, NC.
Footnotes
Accepted for publication Aug 15, 1977.
Reprint requests to National Heart, Lung, and Blood Institute, Federal Building, Room 2C08, Bethesda, MD 20014 (Dr Wilson).
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