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A Disease Masquerading as Septic Shock 

A Disease Masquerading as Septic Shock
Chapter:
A Disease Masquerading as Septic Shock
Author(s):

Muhammad A. Rishi

and Nathan J. Smischney

DOI:
10.1093/med/9780190464813.003.0020
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date: 18 October 2019

Apoplexy of the pituitary gland is a clinical diagnosis and does not require pathologic confirmation. In different case series, the incidence ranges from 0.6% to 10%. Pituitary apoplexy is usually caused by hemorrhage, hemorrhagic infarction, or bland infarction of a pituitary adenoma. Peculiar vascularity of the pituitary gland and structural problems in small blood vessels in the suprasellar region may increase the risk of pituitary apoplexy. Pituitary apoplexy can be an elusive diagnosis because of its rarity and because pituitary adenoma can be undiagnosed at presentation.

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