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April 7, 2018 at 10:45 pm
#4790
Wow! Thanks for sharing this case Virginia. I too would have suspected hypophysitis with the initial symptoms described. How frightening for this gentleman who probably though he was having a heart attack (myocarditis from the provider perspective)! Was there anything, in hindsight, that may have been an earlier clue to the diagnosis? Or was it due diligence in the ER that ultimately led to diagnosis?
A great example of how ICIs continue to challenge even the most experienced providers!!