Noto H, Tsukamoto K, Hayashi S, Takano K, Fujita T, Kimura S
Department of Diabetes and Metabolism, Tokyo University Hospital, Japan.
Endocr J. 2001 Aug;48(4):483-6. doi: 10.1507/endocrj.48.483.
A 50-year-old man presented with hypopituitarism and a pituitary lesion on magnetic resonance imaging scan. He was diagnosed as having lymphocytic hypophysitis, and replacement therapy with hydrocortisone and thyroxine was started. He regained normal pituitary function after 10 months. Reports of spontaneous recovery from lymphocytic hypophysitis in men are rare. While the natural history of lymphocytic hypophysitis remains elusive and its management is not well established, our report shows that spontaneous resolution may occur with steroid supplementation even in men.
一名50岁男性因垂体功能减退和磁共振成像扫描发现垂体病变而就诊。他被诊断为淋巴细胞性垂体炎,并开始使用氢化可的松和甲状腺素进行替代治疗。10个月后他恢复了正常的垂体功能。男性淋巴细胞性垂体炎自发恢复的报道很少见。虽然淋巴细胞性垂体炎的自然病程仍不明确,其治疗方法也尚未完全确立,但我们的报告显示,即使是男性患者,补充类固醇后也可能出现自发缓解。