Pituitary Hyperplasia Secondary to Hypothyroidism Caused by Hashimoto's Thyroiditis in a Female Adolescent
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
The authors report a case of a 16-year-old girl with pituitary hyperplasia and primary hypothyroidism caused by Hashimoto's thyroiditis. She presented with growth arrest, and hormonal studies showed decreased level of free thyroxine (T4), and increased levels of thyroid-stimulating hormone (TSH) and prolactin. A pituitary magnetic resonance imaging (MRI) showed a suprasellar mass. After 2 months of thyroxine replacement, thyroid function and high prolactin levels normalized, and the pituitary hyperplasia disappeared. This case represents relatively rapid normalization of pituitary hyperplasia, compare to the previous studies.
Abstract
The authors report a case of a 16-year-old girl with pituitary hyperplasia and primary hypothyroidism caused by Hashimoto's thyroiditis. She presented with growth arrest, and hormonal studies showed decreased level of free thyroxine (T4), and increased levels of thyroid-stimulating hormone (TSH) and prolactin. A pituitary magnetic resonance imaging (MRI) showed a suprasellar mass. After 2 months of thyroxine replacement, thyroid function and high prolactin levels normalized, and the pituitary hyperplasia disappeared. This case represents relatively rapid normalization of pituitary hyperplasia, compare to the previous studies.
참고문헌 (14)
- Nicholas WC, "Primary hypothyroidism presenting as a pituitary mass", J Miss State Med Assoc, 41, pp.511~514 (2000)
- Valenta LJ, "Regression of a pituitary adenoma following levothyroxine therapy of primary hypothyroidism", Fertil Steril, 40, pp.389~392 (1983)
- Raber W, "Hyperprolactinaemia in hypothyroidism: clinical significance and impact of TSH normalization", Clin Endocrinol (Oxf), 58, pp.185~191 (2003)
- Bayrak A, "Pituitary imaging is indicated for the evaluation of hyperprolactinemia", Fertil Steril, 84, pp.181~185 (2005)
- Papakonstantinou O, "MR imaging of pituitary hyperplasia in a child with growth arrest and primary hypothyroidism", Eur Radiol, 10, pp.516~518 (2000)
- Joshi AS, "Pituitary hyperplasia secondary to primary hypothyroidism: a case report and review of the literature", Pituitary, 8, pp.99~103 (2005)
- Alves C, "Primary hypothyroidism in a child simulating a prolactin-secreting adenoma", Childs Nerv Syst, 24, pp.1505~1508 (2008)
- Desai MP, "Pituitary enlargement on magnetic resonance imaging in congenital hypothyroidism", Arch Pediatr Adolesc Med, 150, pp.623~628 (1996)
- Xu AJ, "Pituitary hyperplasia secondary to primary hypothyroidism in children: report of 8 cases", Zhongguo Dang Dai Er Ke Za Zhi, 12, pp.17~20 (2010)
- Kim DH, "Two cases of pituitary hyperplasia secondary to primary hypothyroidism mimicking pituitary tumor", J Korean Soc Pediatr Endocrinol, 2, pp.241~247 (1997)
- Lee HM, "A case of sublingual thyroid combined with pituitary hyperplasia", J Korean Soc Pediatr Endocrinol, 3, pp.250~255 (1998)
- Kim YT, "MRI finding of reversible pituitary hyperplasia due to hypothyroidism: a case report", J Korean Radiol Soc, 40, pp.169~171 (1999)
- Eom KS, "Primary hypothyroidism mimicking a pituitary macroadenoma: regression after thyroid hormone replacement therapy", Pediatr Radiol, 39, pp.164~167 (2009)
- 김광준, "하시모토 갑상선염에 의한 일차성 갑상선기능저하증으로 발생한 뇌하수체증식증 1예", 대한내분비학회지, 25(1), pp.72~77 (2010), 대한내분비학회