Details always tell a big story: Importance of physical symptoms in evaluation of secondary causes of depression

SECONDARY CAUSES OF depression should be considered in patients with atypical presentations. Careful consideration of these secondary causes could result in early identification and initiation of appropriate treatment to prevent further complications. We report a middle aged man who presented initially with depression, but was found to have craniopharyngioma on evaluation. Persistent loss of libido led to further evaluation and identification of craniopharyngioma and associated pituitary dysfunction.