Neonatal kolestaz ile başvuran, konjenital hipofiz hormon eksikliği tanılı yenidoğan olgusu
Konjenital hipofiz hormon eksikliği neonatal kolestazın sık olmayan nedenidir. Yenidoğan döneminde klinik bulguları kolestaz ve hipoglisemidir. Sezeryan ile, 37 haftalık, 3700 gr doğan kız bebekte postnatal birinci hafta hipoglisemi, 3. haftada kolestaz bulguları gelişti. Çoklu hipofiz hormon eksikliği saptandı. Büyüme hormonu tedavisi ile kolestaz bulguları düzeldi. Konjenital hipofiz hormon eksikliği, hipoglisemi ve kolestazı olan yenidoğanlarda ayırıcı tanıda akılda tutulmalıdır.
A newborn presented with cholestasis and diagnosed with congenital pituitary hormone deficiency
An infrequent reason of neonatal cholestasis is congenital pituitary hormone deficiency. Clinical manifestations of cholestasis and hypoglycaemia in the neonatal period. Gestational week 37, 3700 grams, girl baby born with cesarean sectioning. Hypoglicemia symptoms developed at postnatal first and cholestasis at postnatal third week. Multiple pituitary hormone deficiency was identified. Cholestasis symptoms recovered with growth hormone therapy. Congenital pituitary hormone deficiency should be kept in mind in the newborns with hypoglicemia and cholestasis.
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