Abstract
We herein report a case study of a female newborn with multiple pituitary hormone deficiencies who presented with generalized seizures, hypoglycemia and hyperammonemia at 18 h after birth. In addition, we review the association of hyperammonemia in neonates with multiple pituitary hormone deficiencies reported in the previous literature. This unrecognized association should be taken into account for the early diagnosis and treatment of these patients.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
Fisher DA . Effectiveness of newborn screening programs for congenital hypothyroidism: prevalence of missed cases. Pediatr Clin North Am 1987; 34: 881–890.
Bhoyar A, Short A . Congenital hypopituitarism associated with hyperammonemia. Indian J Pediatr 2009; 76: 327–328.
Chow SL, Gandhi V, Krywawych S, Clayton PT, Leonard JV, Morris AA . The significance of a high plasma ammonia value. Arch Dis Child 2004; 89: 585–586.
Liu KT, Su CS . Postictal transient hyperammonemia. Am J Emerg Med 2008; 26: 388.e1-e2.
Yanagawa Y, Nishi K, Sakamoto T . Hyperammonemia is associated with generalized convulsion. Intern Med 2008; 47: 21–23.
Acknowledgements
We thank Dr Takako Goto, Tadamune Kinjo (Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan) for supporting this report. This work was supported in part by a grant-in-aid from the Ministry of Education, Science and Culture of Japan. The authors thank Mr Brian Quinn for reviewing the English used in this report.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no conflict of interest.
Rights and permissions
About this article
Cite this article
Inoue, H., Ihara, K., Ochiai, M. et al. Congenital multiple pituitary hormone deficiency associated with hyperammonemia: a case report with a short review of the literature. J Perinatol 31, 146–148 (2011). https://doi.org/10.1038/jp.2010.143
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/jp.2010.143
Keywords
This article is cited by
-
Growth hormone deficiency and replacement in children
Reviews in Endocrine and Metabolic Disorders (2021)