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All Journal Indonesian Journal of Clinical Pathology and Medical Laboratory (IJCPML)
W.A. Arsana
Sebelas Maret University
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Neuroscience

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A 24-Year-Old Male with Gigantism, Growth Hormone Deficiency, Suspected Clivus Chordoma, Primary Hypothyroidism, Hypogonadism and Pancytopenia W.A. Arsana; M.I. Diah Pramudianti
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol 26, No 2 (2020)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v26i2.1478

Abstract

Pituitary gigantism is a condition caused by excessive secretion of Growth Hormone (GH). The GH is the most commonpituitary hormone-deficient in pituitary disease. Chordoma is a bone primary tumor that grows slowly and is rarely found.Hypothyroidism is a pathological condition due to thyroid hormone deficiency. Symptoms of hypogonadism arenon-specific including libido disorders, erectile dysfunction, and decreased muscle mass and no hair growth in the head orbody. A 24-year-old male came with pain in the knee. Physical examination showed increased growth of natural and bodyparts as well as the loss of body hair. Laboratory investigations revealed pancytopenia, increased prolactin; decreased GH,Insulin-Like Growth Factor-1 (IGF-1) and testosterone; increased Thyroid-Stimulating Hormone (TSH), decreased FreeTriiodothyronine (FT3) and Free Thyroxine (FT4). Ahead MRI demonstrated the presence of a mass in the clivus. In this case,the patient presented with clinical gigantism. However, laboratory examination showed decreased GH and IGF-1 whichmight be due to the suppressive effect of mass on the clivus bone to the pituitary. Further examinations were needed to clearthe suspicion of hypothyroid. Hypogonadism can result from suppression in the pituitary. Pancytopenia can be caused by adeficiency of GH or from hypothyroidism. Gigantism may occur with GH and IGF-1 deficiency due to suppressed pituitarycaused by chordoma.
A 24-Year-Old Male with Gigantism, Growth Hormone Deficiency, Suspected Clivus Chordoma, Primary Hypothyroidism, Hypogonadism and Pancytopenia W.A. Arsana; M.I. Diah Pramudianti
INDONESIAN JOURNAL OF CLINICAL PATHOLOGY AND MEDICAL LABORATORY Vol. 26 No. 2 (2020)
Publisher : Indonesian Association of Clinical Pathologist and Medical laboratory

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24293/ijcpml.v26i2.1478

Abstract

Pituitary gigantism is a condition caused by excessive secretion of Growth Hormone (GH). The GH is the most common pituitary hormone-deficient in pituitary disease. Chordoma is a bone primary tumor that grows slowly and is rarely found. Hypothyroidism is a pathological condition due to thyroid hormone deficiency. Symptoms of hypogonadism are non-specific including libido disorders, erectile dysfunction, and decreased muscle mass and no hair growth in the head or body. A 24-year-old male came with pain in the knee. Physical examination showed increased growth of natural and body parts as well as the loss of body hair. Laboratory investigations revealed pancytopenia, increased prolactin; decreased GH, Insulin-Like Growth Factor-1 (IGF-1) and testosterone; increased Thyroid-Stimulating Hormone (TSH), decreased Free Triiodothyronine (FT3) and Free Thyroxine (FT4). Ahead MRI demonstrated the presence of a mass in the clivus. In this case, the patient presented with clinical gigantism. However, laboratory examination showed decreased GH and IGF-1, which might be due to the suppressive effect of mass on the clivus bone to the pituitary. Further examinations were needed to clear the suspicion of hypothyroid. Hypogonadism can result from suppression in the pituitary. Pancytopenia can be caused by a deficiency of GH or from hypothyroidism. Gigantism may occur with GH and IGF-1 deficiency due to suppressed pituitary caused by chordoma.
Co-Authors M.I. Diah Pramudianti