Diagnosing and treating the elderly individual with hypopituitarism.
Rev Endocr Metab Disord
; 25(3): 575-597, 2024 Jun.
Article
em En
| MEDLINE
| ID: mdl-38150092
ABSTRACT
Hypopituitarism in the elderly is an underestimated condition mainly due to the non-specific presentation that can be attributed to the effects of aging and the presence of comorbidities. Diagnosis and treatment of hypopituitarism often represent a challenging task and this is even more significant in the elderly. Diagnosis can be insidious due to the physiological changes occurring with aging that complicate the interpretation of hormonal investigations, and the need to avoid some provocative tests that carry higher risks of side effects in this population. Treatment of hypopituitarism has generally the goal to replace the hormonal deficiencies to restore a physiological balance as close as possible to that of healthy individuals but in the elderly this must be balanced with the risks of over-replacement and worsening of comorbidities. Moreover, the benefit of some hormonal replacement therapies in the elderly, including sex hormones and growth hormone, remains controversial.
Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Terapia de Reposição Hormonal
/
Hipopituitarismo
Limite:
Aged
/
Aged80
/
Humans
Idioma:
En
Revista:
Rev Endocr Metab Disord
Assunto da revista:
ENDOCRINOLOGIA
/
METABOLISMO
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Itália