Steroid Responsive Xanthomatous Hypophysitis Associated with Autoimmune Thyroiditis: A Case Report
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 정지영 | - |
dc.contributor.author | 정혜민 | - |
dc.contributor.author | 조윤영 | - |
dc.contributor.author | 허경민 | - |
dc.contributor.author | 서연림 | - |
dc.contributor.author | 김광원 | - |
dc.contributor.author | 배지철 | - |
dc.date.available | 2020-02-29T03:43:19Z | - |
dc.date.created | 2020-02-12 | - |
dc.date.issued | 2013 | - |
dc.identifier.issn | 2093-596X | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/15635 | - |
dc.description.abstract | We report the case of a 36-year-old woman who presented with headache, fever, and amenorrhea. Laboratory analysis revealed hypopituitarism and autoimmune thyroiditis, while a cerebrospinal fluid study suggested concurrent aseptic meningitis. A magnetic resonance image (MRI) scan revealed a 1.0×0.9 cm cystic mass enlarging the sella turcica. Surgical resection via an endoscopic transsphenoidal route was performed. The histological finding of the excised tissue revealed foamy histiocytes with vacuolated cytoplasm, supporting the diagnosis of xanthomatous hypophysitis. Although a residual soft lesion was observed on the MRI image postoperatively, the patient’s headache and fever improved. Ten months after surgery, the patient complained of visual impairment and headache, and the residual mass had enlarged into the suprasellar area. High dose (500 mg intravenous) methylprednisolone was administered for 3 days. During the methylprednisolone pulse therapy, the patient’s visual acuity and headache improved. A follow-up MRI taken after methylprednisolone therapy showed a marked mass reduction. Our case supports an autoimmune pathophysiology for xanthomatous hypophysitis and suggests that high dose glucocorticoid therapy as a treatment option. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | 대한내분비학회 | - |
dc.relation.isPartOf | Endocrinology and Metabolism | - |
dc.title | Steroid Responsive Xanthomatous Hypophysitis Associated with Autoimmune Thyroiditis: A Case Report | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 2 | - |
dc.identifier.bibliographicCitation | Endocrinology and Metabolism, v.28, no.1, pp.65 - 69 | - |
dc.identifier.kciid | ART001752016 | - |
dc.citation.endPage | 69 | - |
dc.citation.startPage | 65 | - |
dc.citation.title | Endocrinology and Metabolism | - |
dc.citation.volume | 28 | - |
dc.citation.number | 1 | - |
dc.contributor.affiliatedAuthor | 김광원 | - |
dc.subject.keywordAuthor | Thyroiditis | - |
dc.subject.keywordAuthor | autoimmune | - |
dc.subject.keywordAuthor | Glucocorticoids | - |
dc.subject.keywordAuthor | Xanthomatous hypophysitis | - |
dc.description.journalRegisteredClass | kci | - |
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