| Autor: |
Adnan Haider, MD, Craig Spellman, DO, PHD, Mary Mok, MD |
| Jazyk: |
angličtina |
| Rok vydání: |
2017 |
| Předmět: |
|
| Zdroj: |
AACE Clinical Case Reports, Vol 3, Iss 1, Pp e51-e53 (2017) |
| Druh dokumentu: |
article |
| ISSN: |
2376-0605 |
| DOI: |
10.4158/EP161289.CR |
| Popis: |
ABSTRACT: Objective: This case involves the presentation of a pituitary microadenoma that was confounded by the patient's use of an herbal product which led to a delay in diagnosis.Methods: Clinical presentation, biochemical features, imaging, and impact of an herbal product, Vitex agnus-castus (VAC), on the presentation of a case of pituitary microadenoma.Results: We present a case of pituitary microadenoma in a 28-year-old female who had initially presented with oligomenorrhea, galactorrhea, and mild elevation of prolactin (PRL) levels. Evaluation in the endocrinology office revealed a complete resolution of symptoms and normalization of labs indicating only a transient elevation of PRL levels. A detailed history, which included the use of over the counter medications (VAC), revealed a potential contributor to the patient's symptomatic improvement in the interim. Ceasing supplementation with the herb led to the recurrence of patient symptoms and a rebound elevation of PRL. A complete workup showed radiological evidence of a pituitary microadenoma on a magnetic resonance imaging scan with contrast.Conclusion: This case highlights the importance of a complete medication history, including herbal products and over the counter medications, and its importance in ruling out a diagnosis. Repeat testing after stopping the herbal product unmasked the microadenoma that would have been missed otherwise.Abbreviations: PMS = premenstrual syndrome; PRL = prolactin; VAC = Vitex agnus-castus |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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