Document Detail


Lymphocytic hypophysitis with a long latent period before development of a pituitary mass.
MedLine Citation:
PMID:  15376489     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Lymphocytic hypophysitis is an autoimmune condition that commonly presents in women of childbearing age as hypopituitarism and a sellar mass. CASE REPORT: A 66-year-old woman presented with anterior pituitary dysfunction. Computed tomography imaging revealed a small hypodensity that was not felt to be the cause of the pituitary dysfunction. Eight years later, her vision rapidly deteriorated and MRI showed a pituitary mass lesion causing optic chiasm compression. Histological examination of the partially resected gland revealed evidence of lymphocytic hypophysitis. CONCLUSION: Our patient is an example of the variable presentation and course of lymphocytic hypophysitis. Such a long latent period between the initial presentation of adenohypophysial hypofunction and optic chiasm compression due to an enlarging pituitary mass has not been reported.
Authors:
Rene W G Wong; Teik Chye Ooi; Brien Benoit; David Zackon; Gerard Jansen; Adam Telner
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques     Volume:  31     ISSN:  0317-1671     ISO Abbreviation:  Can J Neurol Sci     Publication Date:  2004 Aug 
Date Detail:
Created Date:  2004-09-20     Completed Date:  2004-10-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0415227     Medline TA:  Can J Neurol Sci     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  406-8     Citation Subset:  IM    
Affiliation:
Division of Endocrinology and Metabolism, Ottawa Hospital, University of Ottawa, Canada.
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Aged
Autoimmune Diseases / immunology*,  pathology*
Female
Humans
Inflammation
Lymphocytes*
Optic Chiasm / pathology
Pituitary Diseases / immunology*,  pathology*
Pituitary Gland / pathology
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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