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Journal of Korean Neurosurgical Society 1998;27(11): 1611-1614.
Lymphocytic Hypophysitis: A Cases Report.
Dong Jun Lim, Yong Gu Chung, Hoon Kap Lee, Ki Chan Lee, Jung Keun Suh
Department of Neurosurgery, College of Medicine, Korea University, Seoul, Korea.
ABSTRACT
Lymphocytic hypophysitis is a rare inflammatory disease of the pituitary gland that is being recognized increasingly as a cause of hypopituitarism. Lymphocytic hypophysitis is due to autoimmune pituitary destruction and often occurs with other autoimmune diseases. We report a rare case of lymphocytic hyphophisitis in a 21-year old woman, who suffered from systemic lupus erythematosus(SLE), presenting with intermittent headache for 2 months. Magnetic Resonance Imaging with a contrast medium revealed expanding sellar mass with hemorrhage. The patient underwent transsphenoidal surgery with a provisional diagnosis of pituitary adenoma. Histological examination revealed evidence of lymphocytic hypophysitis. We report a case of lymphocytic hypophysitis in nonpregnant women who suffered from SLE, an immunologically mediated multisystem disease.
Key Words: Lymphocytic hypophysitis; Pituitary tumor; SLE; Systemic lupus erythematosus
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