Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=26181544
&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215
Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\26181544
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Medicine+(Baltimore)
2015 ; 94
(28
): e1099
Nephropedia Template TP
Kong X
; Wang R
; Yang Y
; Wu H
; Su C
; Ma W
; Li Y
; Xing B
; Lian W
; Xu Z
; Yao Y
; Ren Z
Medicine (Baltimore)
2015[Jul]; 94
(28
): e1099
PMID26181544
show ga
Idiopathic granulomatous hypophysitis (IGH) is a rare inflammatory disease of the
pituitary that commonly presents with enlargement of the pituitary gland.
Clinically and radiologically, IGH is a rare sellar entity easily to be
misdiagnosed as a pituitary adenoma. Through such a case, we aim to present this
rarity and emphasize the importance to correctly diagnose confusing pituitary
lesions comprehensively by clinical presentations, radiological signs, and
biopsy. We present an uncommon case of IGH in a 19-year-old man. The patient was
admitted to the hospital with severe headache, vomiting, and vision's sharp
decline. Magnetic resonance imaging showed a sellar lesion with obvious cystic
change and ring enhancement. The disease course including diagnosis and treatment
was presented and analyzed in detail. The pertinent literature is reviewed
regarding this uncommon entity. The patient underwent surgical exploration and
partial resection via the transsphenoidal approach. The pathologic findings
suggested IGH giving no significant evidences of systemic granulomatous disease
and venereal disease. Large dose methylprednisolone was then used. The pituitary
function recovered, but there was no apparent improvement of his vision. IGH is a
rarely occurred inflammatory disease of unknown etiology. It is difficult to
diagnose preoperatively and is often misdiagnosed. Although rare, IGH should be
kept in mind in terms of differential diagnosis of sellar region lesions.