Abstract | RATIONALE: PATIENT CONCERNS: DIAGNOSES: INTERVENTIONS: OUTCOMES: He was prescribed desmopressin acetate and subsequently discharged. A month later, he revisited our hospital with general fatigue and nausea/ vomiting. A screening test disclosed hypopituitarism with adrenal insufficiency. MRI revealed expanded contrast enhancement to the peripheral extrapituitary lesion. He received high-dose GC treatment and the affected lesion exhibited marked improvement on MRI, along with the recovery of the anterior pituitary function. LESSONS: This case demonstrates the potential for classical LINH to develop into panhypopituitarsim. We consider this is the first documentation of approaching the cause of atypical LINH with progressive clinical course from the pathological viewpoint.
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Authors | Kimitaka Shibue, Toshihito Fujii, Hisanori Goto, Yui Yamashita, Yoshihisa Sugimura, Masahiro Tanji, Akihiro Yasoda, Nobuya Inagaki |
Journal | Medicine
(Medicine (Baltimore))
Vol. 96
Issue 9
Pg. e6034
(Mar 2017)
ISSN: 1536-5964 [Electronic] United States |
PMID | 28248860
(Publication Type: Case Reports, Journal Article)
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Topics |
- Aged
- Autoimmune Hypophysitis
(complications)
- Disease Progression
- Humans
- Hypopituitarism
(etiology)
- Male
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