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Revista de Endocrinología y Nutrición

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2009, Number 2

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Rev Endocrinol Nutr 2009; 17 (2)

A woman with headaches and visual abnormalities: Hypophisitis vs pituitary adenoma

Tenorio-Aguirre EK, Campos-Barrera E, Ortega-Gómez MR, Mayorga-Camargo JCR, Vergara LA
Full text How to cite this article

Language: Spanish
References: 6
Page: 81-83
PDF size: 108.23 Kb.


Key words:

Lymphocytic hypophysitis, pituitary adenoma, infundibulitis.

ABSTRACT

The case of a 39-year-old-female who developed chronic headache and questionable visual field defects is presented. Magnetic resonance imaging revealed difuse pituitary enlargement with supraselar extension and thickening of the pituitary stalk. Transsphenoidal pituitary exploration and biopsy was performed, which confirmed the diagnosis of lymphocytic hypophysitis. Upon her latest follow-up, the patient is asymptomatic and only requires glucocorticoid replacement.


REFERENCES

  1. Catalá BM, Gilsanz PA, Girbes BJ. Guía clínica de diagnóstico y tratamiento de las hipofisitis. Endocrinol Nutr 2008; 55: 44-53.

  2. Caturegli P, Newschaffer C. Autoimmune Hypophysitis. Endocr Rev 2005; 26: 599-614.

  3. Cheung C, Ezzat S, Smyth H. The spectrum and significance of primary hypophysitis. J Clin Endocrinol Metab 2001; 86: 048-1053.

  4. Gutenberg A, Buslei R. Immunopathology of primary hypophysitis. implications for pathogenesis. Am J Surg Pathol 2005; 29: 329-338.

  5. Nishiki M, Murakami Y. Serum antibodies to human pituitary membrane antigens in patients with autoimmune lymphocytic hypophysitis and infundibuloneurohypophysitis. Clin Endocrinol 2001; 54: 327-333.

  6. Lecube A, Rodríguez D, Ortega A. Lymphocytic hypophysitis successfully treated with azathioprine: first case report. J Neurol Neurosurg Psychiatry 2003; 74: 1581-1583.




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C?MO CITAR (Vancouver)

Rev Endocrinol Nutr. 2009;17