A case of apoplectic lymphocytic hypophysitis complicated by polymyalgia rheumatica

被引：0
作者：
Yasuko Tanaka
Tomohito Hirao
Keisuke Tsutsumi
Taiichiro Miyashita
Yasumori Izumi
Yumi Mihara
Masahiro Ito
Hiroshi Baba
Kiysohi Migita
机构：
[1] NHO National Nagasaki Medical Center,Department of Rheumatology and General Internal Medicine
[2] NHO National Nagasaki Medical Center,Department of Neurosurgery
[3] NHO National Nagasaki Medical Center,Department of Pathology
[4] NHO National Nagasaki Medical Center,Clinical Research Center
来源：
Rheumatology International | 2013年 / 33卷
关键词：
Lymphocytic hypophysitis; Pituitary apoplexy; Hypopituitarism; Polymyalgia rheumatica;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
A case of apoplectic lymphocytic hypophysitis complicated by polymyalgia rheumatica (PMA) is described. A 72-year-old man was admitted to our hospital due to severe headache. Two months prior to admission, the patients had exhibited recent-onset stiffness and myalgia of shoulder and pelvic girdle that was compatible with PMR. Magnetic resonance imaging revealed a mass lesion in the pituitary fossa with focal hemorrhage. Endocrinologic studies demonstrated hypopituitarism. The headache and myalgia were improving with corticosteroid treatment; however, a trans-sphenoidal surgery was performed due to visual field loss. A white-colored mass was resected, and histologic examination showed diffuse infiltration of lymphocytes and plasma cells consistent with lymphocytic hypophysitis. Post-operatively, the headache and visual field loss resolved completely. This is the first documented case of apoplectic lymphocytic hypophysitis complicating PMR, and a possible mechanism for this rare association was discussed.
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页码：215 / 218
页数：3
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