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An uncommon cause for hip pain and limping
Slipped capital femoral epiphysis (SCFE) is characterized by displacement of the capital femoral epiphysis from the femoral neck. An 18-year-old male presented with left hip pain and a limping gait, following a trivial trauma. Radiological examination revealed bilateral SCFE. Clinically and biochemi...
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Published in: | Journal of family medicine and primary care 2015-07, Vol.4 (3), p.468-469 |
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creator | Shetty, Sahana Sathyakumar, Samantha Kapoor, Nitin Paul, Thomas Vizhalil |
description | Slipped capital femoral epiphysis (SCFE) is characterized by displacement of the capital femoral epiphysis from the femoral neck. An 18-year-old male presented with left hip pain and a limping gait, following a trivial trauma. Radiological examination revealed bilateral SCFE. Clinically and biochemically, he had features of hypopituitarism. His prolactin levels were high and magnetic resonance imaging (MRI) scan showed a pituitary macroadenoma, suggesting a diagnosis of macroprolactinoma causing hypopituitarism and presenting as SCFE. He was started on dopamine agonist cabergoline as well as thyroxine and glucocorticoid replacement treatment. He was also scheduled for an orthopedic surgical procedure for his SCFE. |
doi_str_mv | 10.4103/2249-4863.161357 |
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An 18-year-old male presented with left hip pain and a limping gait, following a trivial trauma. Radiological examination revealed bilateral SCFE. Clinically and biochemically, he had features of hypopituitarism. His prolactin levels were high and magnetic resonance imaging (MRI) scan showed a pituitary macroadenoma, suggesting a diagnosis of macroprolactinoma causing hypopituitarism and presenting as SCFE. He was started on dopamine agonist cabergoline as well as thyroxine and glucocorticoid replacement treatment. He was also scheduled for an orthopedic surgical procedure for his SCFE.</description><identifier>ISSN: 2249-4863</identifier><identifier>EISSN: 2278-7135</identifier><identifier>DOI: 10.4103/2249-4863.161357</identifier><identifier>PMID: 26288794</identifier><language>eng</language><publisher>India: Medknow Publications and Media Pvt. 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An 18-year-old male presented with left hip pain and a limping gait, following a trivial trauma. Radiological examination revealed bilateral SCFE. Clinically and biochemically, he had features of hypopituitarism. His prolactin levels were high and magnetic resonance imaging (MRI) scan showed a pituitary macroadenoma, suggesting a diagnosis of macroprolactinoma causing hypopituitarism and presenting as SCFE. He was started on dopamine agonist cabergoline as well as thyroxine and glucocorticoid replacement treatment. He was also scheduled for an orthopedic surgical procedure for his SCFE.</description><subject>Care and treatment</subject><subject>Case Report</subject><subject>Case studies</subject><subject>Diagnosis</subject><subject>Hip fractures</subject><subject>Hypopituitarism</subject><subject>macroprolactinoma</subject><subject>slipped capital femoral epiphysis</subject><issn>2249-4863</issn><issn>2278-7135</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNptUktrGzEQFqWlNmnuPZWFQg-BdfVcSZeCCc0DAr0kZyFpJVtmV1pWdqH_vlqvE2yIBvSY-b5vRswA8BXBFUWQ_MSYypqKhqxQgwjjH8ASYy5qXh4fp_spvADXOe9gWRIVn_gMFrjBQnBJl-BmHatDtKnvU6ysPmRX-TRW2zBUgw6x0rGtutAPIW6-gE9ed9ldn84r8HL3-_n2oX76c_94u36qLcGM15Ix73lT9HHTIikIJNAY3WIIGdfeQI49RY5LY5jVmouyu0a20BrvBZLkCjzOum3SOzWModfjP5V0UEdHGjdKj_tgO6dax0zjvBMWMkqk09ZwQXBJcjRatH7NWsPB9K61Lu5H3V2IXkZi2KpN-qsoIwwhXgS-zwIbXfKF6FOB2T5kq9YUE4IobaaSV--girWuDzZF50PxXxB-nBG2Tnf7bU7dYR9SzJdAOAPtmHIenX-rHUE1jYGa-qymPqt5DArl2_mf3wivTSf_AbDYqkQ</recordid><startdate>201507</startdate><enddate>201507</enddate><creator>Shetty, Sahana</creator><creator>Sathyakumar, Samantha</creator><creator>Kapoor, Nitin</creator><creator>Paul, Thomas Vizhalil</creator><general>Medknow Publications and Media Pvt. 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An 18-year-old male presented with left hip pain and a limping gait, following a trivial trauma. Radiological examination revealed bilateral SCFE. Clinically and biochemically, he had features of hypopituitarism. His prolactin levels were high and magnetic resonance imaging (MRI) scan showed a pituitary macroadenoma, suggesting a diagnosis of macroprolactinoma causing hypopituitarism and presenting as SCFE. He was started on dopamine agonist cabergoline as well as thyroxine and glucocorticoid replacement treatment. He was also scheduled for an orthopedic surgical procedure for his SCFE.</abstract><cop>India</cop><pub>Medknow Publications and Media Pvt. Ltd</pub><pmid>26288794</pmid><doi>10.4103/2249-4863.161357</doi><tpages>2</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Care and treatment Case Report Case studies Diagnosis Hip fractures Hypopituitarism macroprolactinoma slipped capital femoral epiphysis |
title | An uncommon cause for hip pain and limping |
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