An unusual pituitary mass revealing a primary hypothyroidism!

Autor: Amal Moumen, Azzelarab Meftah, Hamza El jadi, Souad Elmoussaoui, Ghizlaine Belmejdoub
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Clinics and Practice, Vol 5, Iss 1 (2015)
Druh dokumentu: article
ISSN: 2039-7275
2039-7283
DOI: 10.4081/cp.2015.733
Popis: Autoimmune hypothyroidism is a common medical condition. Its revelation by thyrotrophic hyperplasia is an unusual and may be misdiagnosed as a pituitary adenoma. A 35-year-old man is referred to us for endocrinological assessment before surgery of a pituitary macroadenoma with bitemporal hemianopsia. Biological data reveal profound primary hypothyroidism. With thyroid hormone substitution, the thyroid function was normalized. Follow-up magnetic resonance imaging, showed the complete shrinkage of the pituitary mass attesting of a thyrotrophic pituitary hyperplasia. This case highlights the importance of a multidisciplinary assessment of pituitary masses to avoid unnecessary surgery and to prevent consequences of sellar masses.
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