An Endocrinopathy Characterized by Dysfunction of the Pituitary-Adrenal Axis and Alopecia Universalis: Supporting the Entity of a Triple H Syndrome

    September 2002 in “ European Journal of Endocrinology
    Kenji Ichiki, Tomoatsu Nakamura, Naruhiro Fujita, K. Honda, Toru Hiraga, Shun Ishibashi, San‐e Ishikawa
    TLDR Triple H syndrome exists and can vary in symptoms.
    The document described a case of a 25-year-old man with triple H syndrome, characterized by ACTH deficiency, alopecia universalis, and anterograde amnesia. The patient experienced systematic hair loss, significant weight loss, and was admitted to the hospital due to unconsciousness. Laboratory tests revealed low plasma glucose and deficiencies in GH and ACTH, along with hypoadrenocorticism. Despite low normal intelligence and minor hippocampal changes, treatment with hydrocortisone normalized glucose levels, restored body weight, and promoted hair growth over 7 months. This case supported the existence of triple H syndrome and suggested variability in its presentation.
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