A Case of Hypopituitarism Due to Granulomatous and Lymphocytic Adenohypophysitis with Minimal Pituitary Enlargement: A Possible Variant of Lymphocytic Adenohypophysitis.
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- MIYAMOTO MASUMI
- 2nd Division of Internal Medicine and Department of Neurosurgery, Kyoto University School of Medicine
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- SUGAWA HIDEO
- 2nd Division of Internal Medicine and Department of Neurosurgery, Kyoto University School of Medicine
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- MORI TORU
- 2nd Division of Internal Medicine and Department of Neurosurgery, Kyoto University School of Medicine
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- HASHIMOTO NOBUO
- 2nd Division of Internal Medicine and Department of Neurosurgery, Kyoto University School of Medicine
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- IMURA HIROO
- 2nd Division of Internal Medicine and Department of Neurosurgery, Kyoto University School of Medicine
書誌事項
- タイトル別名
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- A Possible Variant of Lymphocytic Adenohypophysitis
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抄録
A 47-year-old woman complaining of cold intolerance, general weaknes and amenorrhea of 10 months duration was diagnosed, by endocrine examinations, as having panhypopituitarism. Skull x-ray films revealed a slightly enlarged sella with double floor sign and MRI showed a low intensity mass in the pituitary. Transsphenoidal exploration disclosed a degenerated pituitary gland, the histology of which showed a granulomatous lesion with moderate lymphocytic incfiltration but containing no multinuclear giant cells. No caseous necrosis, causative microorganisms, or BCG antigen were noted. The present case is considered a variant form of lymphocytic adenohypophysitis.
収録刊行物
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- Ｅｎｄｏｃｒｉｎｏｌｏｇｉａ Ｊａｐｏｎｉｃａ
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Ｅｎｄｏｃｒｉｎｏｌｏｇｉａ Ｊａｐｏｎｉｃａ 35 (4), 607-616, 1988
一般社団法人 日本内分泌学会