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Can Hypopituitarism Lead To Tanned Skin Tone?

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Posted on Thu, 21 Mar 2019
Question: I have hypopituitarism with adult onset and probably related to a head injury. I have been on hydrocortisone to treat it, but have recently developed very XXXXXXX skin even though I haven't been in the sun. Also, I have been very tired and my urine doesn't have any color to it. Could these symptoms be related to hypopituitarism and if not, what could be going on?
doctor
Answered by Dr. Mirjeta Guni (5 minutes later)
Brief Answer:

Some more info needed;

Detailed Answer:

Hello,

Usually dark skin is seen in primary adrenal insufficiency and not secondary but to say it for sure i would ask you to attach the result of the below exams:

-Acth and cortisol level ( the last one), electrolytes.
-The MRI report
-The actual dose of hydrocortisone

Would you please inform also about your blood pressure, is it low under treatment with hydrocortisone?

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Mirjeta Guni, Endocrinologist
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Follow up: Dr. Mirjeta Guni (2 hours later)
Hi, I have provided some attachments. Please review them.
doctor
Answered by Dr. Mirjeta Guni (14 hours later)
Brief Answer:

Check ACTH and cortisol level:

Detailed Answer:

Hello,

First, the reports attached are too old (September 2016). You need to monitor cortisol level before and after the hydrocortisone dose, to be sure that the dose is right and check the blood pressure.

These are the most important parametrs that give information about the dose of hydrochortisone.

Except for cortisol you need to check ACTH level too. A high action would explain the tanning color you described.

Hope I have answered your query.

Take care

Regards,
Dr Mirjeta Guni, Endocrinologist
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Mirjeta Guni

Endocrinologist

Practicing since :2006

Answered : 2414 Questions

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Can Hypopituitarism Lead To Tanned Skin Tone?

Brief Answer: Some more info needed; Detailed Answer: Hello, Usually dark skin is seen in primary adrenal insufficiency and not secondary but to say it for sure i would ask you to attach the result of the below exams: -Acth and cortisol level ( the last one), electrolytes. -The MRI report -The actual dose of hydrocortisone Would you please inform also about your blood pressure, is it low under treatment with hydrocortisone? Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Mirjeta Guni, Endocrinologist