'Houdini's Pituitary:' A Case Report of Regression of Pituitary Mass to Empty Sella in a 58-Year-Old Man with Autoimmune Hypophysitis

被引：0

作者：

Ooi, Cheow Peng ^{[1
]}

Kamarruddin, Nor Azmi ^{[2
]}

Mustafa, Norlaila ^{[2
]}

Kew, Thean Yean ^{[3
]}

机构：

[1] Univ Putra Malaysia, Dept Med, Endocrine Unit, Serdang, Malaysia

[2] Pusat Perubatan Univ Kebangsaan Malaysia, Dept Med, Endocrinol Unit, Kuala Lumpur, Malaysia

[3] Pusat Perubatan Univ Kebangsaan Malaysia, Dept Radiol, Kuala Lumpur, Malaysia

来源：

JOURNAL OF THE ASEAN FEDERATION OF ENDOCRINE SOCIETIES | 2018年 / 33卷 / 01期

关键词：

autoimmune hypophysitis; empty sella; hypopituitarism; older male; pituitary enlargement;

D O I：

10.15605/jafes.033.01.12

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 58-year-old male presented with persistent severe headache, lethargy, decline libido and no neurological deficits. Besides quadruple anterior pituitary hormonal deficiencies, magnetic resonance imaging (MRI) demonstrated an enlarged ring-enhanced non-homogenous pituitary. Following hormonal replacement, these symptoms improved but empty sella evolved. The challenges of diagnosis and management were discussed. Awareness of the unclear etiology and uncertain clinical course of autoimmune hypophysitis in a man in this age group is essential for prompt and appropriate management.

引用

页码：69 / 73

页数：5

共 12 条

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