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淋巴细胞性垂体炎合并妊娠:病例报告及文献复习

Pregnancy in lymphocytic hypophysitis: case report and review.

作者信息

Brandes J C, Cerletty J M

出版信息

Wis Med J. 1989 Nov;88(11):29-32.

PMID:2690469
Abstract

Lymphocytic hypophysitis has reported in 22 cases, all but one in women. More than 80% of the cases in women occurred during pregnancy or in the postpartum period. We describe a girl with partial hypopituitarism secondary to lymphocytic hypophysitis who, five years after the diagnosis, successfully delivered a healthy infant at term. Of the previously reported cases, most patients remain amenorrheic after the diagnosis. From the present case report and review of the literature, it would appear that a diagnosis of lymphocytic hypophysitis does not necessarily preclude the patient's ability to conceive and successfully carry the pregnancy. Pituitary hormone deficiency in this disease, therefore, does not always include the gonadotropins.

摘要

淋巴细胞性垂体炎已报道22例,除1例男性外其余均为女性。女性患者中超过80%的病例发生在孕期或产后。我们描述了一名继发于淋巴细胞性垂体炎的部分垂体功能减退的女孩,诊断5年后足月成功分娩一名健康婴儿。在既往报道的病例中,大多数患者诊断后仍闭经。从本病例报告及文献复习来看,淋巴细胞性垂体炎的诊断不一定会排除患者受孕及成功妊娠的能力。因此,该疾病中的垂体激素缺乏并不总是包括促性腺激素。

相似文献

1
Pregnancy in lymphocytic hypophysitis: case report and review.淋巴细胞性垂体炎合并妊娠:病例报告及文献复习
Wis Med J. 1989 Nov;88(11):29-32.
2
Lymphocytic hypophysitis.淋巴细胞性垂体炎
Horm Res. 2007;68 Suppl 5:145-50. doi: 10.1159/000110611. Epub 2007 Dec 10.
3
Lymphoid hypophysitis associated with sudden maternal death: report of a case review of the literature.与孕产妇猝死相关的淋巴细胞性垂体炎:病例报告及文献复习
Obstet Gynecol Surv. 1986 Oct;41(10):619-21.
4
Lymphocytic hypophysitis simulating a pituitary adenoma in a nonpregnant woman.一名非妊娠女性中模拟垂体腺瘤的淋巴细胞性垂体炎。
Clin Neuropathol. 1996 Jul-Aug;15(4):234-9.
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Peripartum hypopituitarism and lymphocytic hypophysitis.围产期垂体功能减退症和淋巴细胞性垂体炎。
QJM. 1995 Aug;88(8):571-80.
6
Clinical case seminar: lymphocytic hypophysitis: clinicopathological findings.临床病例研讨会:淋巴细胞性垂体炎:临床病理表现
J Clin Endocrinol Metab. 1995 Aug;80(8):2302-11. doi: 10.1210/jcem.80.8.7629223.
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Lymphocytic hypophysitis presenting early in pregnancy.妊娠早期出现的淋巴细胞性垂体炎。
J Neurol. 2003 Nov;250(11):1385-7. doi: 10.1007/s00415-003-0209-y.
8
Pituitary disorders during pregnancy.妊娠期间的垂体疾病。
Endocrinol Metab Clin North Am. 1995 Mar;24(1):1-14.
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Ovulation induction and normal pregnancy after panhypopituitarism due to lymphocytic hypophysitis.
Obstet Gynecol. 1998 May;91(5 Pt 2):850-2. doi: 10.1016/s0029-7844(98)00022-2.
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Primary hypothyroidism, pituitary insufficiency and pregnancy. A case report.原发性甲状腺功能减退、垂体功能不全与妊娠。病例报告。
J Reprod Med. 1984 Apr;29(4):284-8.

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Recurrent autoimmune hypophysitis treated with rituximab: a case report.复发性自身免疫性垂体炎采用利妥昔单抗治疗:病例报告。
J Med Case Rep. 2021 Dec 15;15(1):591. doi: 10.1186/s13256-021-03146-0.
2
Diabetes and Sepsis: Risk, Recurrence, and Ruination.糖尿病与脓毒症:风险、复发及破坏
Front Endocrinol (Lausanne). 2017 Oct 30;8:271. doi: 10.3389/fendo.2017.00271. eCollection 2017.
3
Lymphocytic hypophysitis in the pediatric population.儿童人群中的淋巴细胞性垂体炎。
Childs Nerv Syst. 2008 Jul;24(7):785-92. doi: 10.1007/s00381-007-0577-1. Epub 2008 Feb 26.
4
Lymphocytic hypophysitis with central diabetes insipidus and subsequent hypopituitarism masking a suprasellar germinoma in a 13-year-old girl.一名13岁女孩患淋巴细胞性垂体炎伴中枢性尿崩症及随后的垂体功能减退,掩盖了鞍上生殖细胞瘤。
Childs Nerv Syst. 2006 Oct;22(10):1338-43. doi: 10.1007/s00381-006-0078-7. Epub 2006 Mar 25.