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J Korean Soc Endocrinol. 2002 Oct;17(5):705-712. Korean. Case Report.
Lee SJ , Lee HL , Chung IK , Hong EG , Choi CS , Kim HK , Kim DM , Yoo JM , Ihm SH , Choi MG , Yoo HJ , Park SW .
Department of Internal Medicine, Hallym Medical Center, College of Medicine, Hallym University, ChunCheon, Korea. mgchoi@med.hallym.ac.kr
Abstract

Lymphocytic hypophysitis is a rare inflammatory disease of the pituitary gland that is often recognized as a cause of hypopituitarism and may be due to the autoimmune pituitary destruction that usually occurs in women in the peripartum period. We report a rare case of lymphocytic hypophysitis in a 26 year-old woman presenting with nausea and headaches for 2 months after an artificial abortion of her second pregnancy. Magnetic resonance imaging, with enhancement, showed an expanding 1.0x1.0 cm sized sellar mass. The patient underwent transsphenoidal surgery with a preoperative diagnosis of pituitary macroadenoma. A histological examination revealed diffuse lymphocytes and plasma cells infiltration which are characteristic of lymphocytic hypophysitis. Here, we present the first reported case of a pregnant woman with lymphocytic hypophysitis with a review of the literature on this increasingly recognized condition.

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