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一名年轻男性因严重骨质疏松症而发现的非典型促甲状腺素分泌型垂体微腺瘤。

Atypical thyrotropin-secreting pituitary microadenoma revealed by severe osteoporosis in a young man.

作者信息

de Rougemont Alexis, Mourot Marie-Gabrielle, Riou Jean-Paul

机构信息

Service d'Endocrinologie-Diabétologie, Hôpital E. Herriot, Hospices Civils de Lyon, Lyon, 69003, France.

出版信息

J Bone Miner Metab. 2009;27(4):513-8. doi: 10.1007/s00774-009-0050-1. Epub 2009 Feb 28.

Abstract

For 10 years, a young man was followed for a severe osteoporosis associated with a considerable reduction in height and a massive weight loss. The constant increase of signs of tissue impregnation with thyroid hormones and the molar ratios of alpha-TSH suggested an inappropriate secretion of thyrotropin. Magnetic resonance imaging finally revealed a thyrotropic microadenoma of the pituitary gland. This case gives some new additional information on thyrotropin-induced osteoporosis. To our knowledge such a case has never been reported in the literature.

摘要

十年来,一名年轻男子因严重骨质疏松症接受随访,伴有身高显著降低和大量体重减轻。甲状腺激素组织浸润迹象以及α-促甲状腺激素摩尔比持续增加,提示促甲状腺激素分泌异常。磁共振成像最终显示垂体促甲状腺素微腺瘤。该病例为促甲状腺素诱导的骨质疏松症提供了一些新的补充信息。据我们所知,此类病例在文献中从未有过报道。

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