Abordagem terapêutica do paciente pediátrico com panhipopituitarismo e sua transição para a vida adulta abordagem terapêutica do paciente pediátrico com anhipopituitarismo e sua transição para a vida adulta

Abstract

Introduction: Pan-hypopituitarism is the deficiency of two or more pituitary hormones. The symptoms expressed are dependent on the type and degree of hormonal deficit. Proper care of these patients is of fundamental importance so that it does not cause changes in the quality of life of individuals transitioning to adulthood. Objectives: To report a clinical case of approaching a pediatric patient with pan-hypopituitarism and describe the care adopted, as well as the proposed treatment for adult life. Materials and methods: This is a case study, according to the CARE guidelines, with a basic purpose and exploratory and observational character. Data from medical records and complementary exams provided by the patient and his guardian were used. In addition, an anamnesis form was used to review the initial clinical presentation of the pathology, the investigative work used and the management performed, and to learn about other points, such as living habits and disease history. Case report: Male patient, 14 years old, with pan-hypopituitarism started in childhood, secondary to the appearance of germinoma and the treatment performed for it. The first hormonal deficiency presented was diabetes insipidus, followed, after chemotherapy and radiotherapy, with multiple deficiencies. The minor is under specialized monitoring, and uses levothyroxine, desmopressin, somatropin, testosterone and prednisolone. Conclusion: From the present report, the adequate approach to a child with pan-hypopituitarism and its follow-up is important in order to maintain a satisfactory quality of life in adult life.