A Case Report of Lymphocytic Hypophysitis Related to Pregnancy

DOI: 10.4236/ojemd.2015.512021   PDF   HTML   XML   3,209 Downloads   3,693 Views  

Abstract

A 39-year-old woman consulted in the postpartum period because of agalactia, polyuria, polydipsia, and headache and decreased visual acuity. The initial analysis was compatible with a panhypopituitarism. The magnetic resonance (MRI) showed an expansive sellar and suprasellar lesion of high density in the basal study and enhancement after contrast administration, in contact with the optic chiasm, so urgent surgery was indicated. While waiting for the surgery, intravenous corticosteroids were initiated and the symptoms rapidly resolved. Most of the pituitary axes were recovered, except the diabetes insipidus. The control MRI showed complete resolution of the sellar mass. The surgery was canceled and the diagnosis of lymphocyte hypohpyisitis was made. Lymphocyte hypophysitis is an uncommon disease in which inflammation of the pituitary gland occurs. This results in a permanent or transient hormonal insufficiency. Lymphocyte hypophysitis is a very rare condition that occurs preferentially in women in the peripartum period. Early initiation of high doses of systemic corticosteroids may avoid unnecessary surgery in some cases.

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Diego, E. , Ciudin, A. , Simo-Servat, O. , Ortiz, A. , Gutierrez-Carrasquilla, L. and Mesa, J. (2015) A Case Report of Lymphocytic Hypophysitis Related to Pregnancy. Open Journal of Endocrine and Metabolic Diseases, 5, 171-176. doi: 10.4236/ojemd.2015.512021.

Conflicts of Interest

The authors declare no conflicts of interest.

References

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