1. A case of lymphocytic hypophysitis presenting as a pituitary macroadenoma
- Author
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A. Mukherjee, Tara Kearney, Kanna K. Gnanalingham, J. Sudagani, S. Dewan, and D. Kannappan
- Subjects
Adenoma ,Adult ,endocrine system ,Pituitary gland ,medicine.medical_specialty ,Visual acuity ,genetic structures ,Hypophysitis ,Endocrinology, Diabetes and Metabolism ,Pituitary Diseases ,Vision Disorders ,Thyrotropin ,Adrenocorticotropic hormone ,Diagnosis, Differential ,Basal (phylogenetics) ,Endocrinology ,Thyroid-stimulating hormone ,Adrenocorticotropic Hormone ,Pregnancy ,Internal medicine ,medicine ,Humans ,Pituitary Neoplasms ,Lymphocytes ,Hydrocortisone ,Inflammation ,business.industry ,medicine.disease ,Magnetic Resonance Imaging ,Prolactin ,Pregnancy Complications ,Pituitary Hormones ,medicine.anatomical_structure ,Pediatrics, Perinatology and Child Health ,Female ,medicine.symptom ,business ,hormones, hormone substitutes, and hormone antagonists ,medicine.drug - Abstract
The results of her basal pituitary function tests taken at that time are tabulated below ( table 1 ). These results suggest adrenocorticotropic hormone (ACTH), thyroid stimulating hormone (TSH) and prolactin deficiencies. A repeat MRI scan of her pituitary demonstrated a normal pituitary gland with no optic chiasmal compression, nor evidence of pituitary haemorrhage. In view of the spontaneous resolution of her visual field defect and pituitary macroadenoma, together with the ACTH and TSH deficiencies, a clinical diagnosis of lymphocytic hypophysitis was made. The patient was treated with hydrocortisone and thyroxine. On further follow-up, she remains well with no headaches or visual disturbances, a normal menstrual cycle and improved energy levels.
- Published
- 2008