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Medicine Disorders of pituitary gland 500370a7

A 21 year old male presented with sho stature & lack of secondary sexual characteristics. He has been operated for brain tumor 12 years ago & underwent cranial radiation. Which of the following is true regarding acquired hypopituitarism due to radiation?

A
At a dose of 50 Gy of radiation, only 5% of patients will manifest hypopituitarism.
B
The majority of patients who develop hypopituitarism after cranial radiation, do so within a year of treatment.
C
Growth hormone is the most common hormonal deficiency.
D
Older adults are at highest risk from radiation-induced hypopituitarism.
High-Yield Explanation
Cranial irradiation may result in long-term hypothalamic and pituitary dysfunction. At a dose of 50 Gy of radiation, up to two-thirds of patients develop hormone insufficiency The development of hypopituitarism occurs over 5-15 years after cranial radiation Growth hormone deficiency is most common, followed by gonadotropin and ACTH deficiency Children and adolescents are at highest risk from radiation-induced hypopituitarism

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