Ammar M, HadjKacem F, Maalej A, Abid G, Charfi N, Abid M
Service d'endocrinologie et diabétologie, hôpital Hedi-Chaker, avenue Majida-Boulila, 3029 Sfax, Tunisie.
Service d'endocrinologie et diabétologie, hôpital Hedi-Chaker, avenue Majida-Boulila, 3029 Sfax, Tunisie.
Rev Med Interne. 2017 Dec;38(12):844-846. doi: 10.1016/j.revmed.2017.06.007. Epub 2017 Jul 6.
Pituitary hyperplasia due to primary hypothyroidism is rare and underdiagnosed.
We report an 18-year-old patient referred for a pituitary mass revealing primary hypothyroidism. Biological parameters confirmed severe primary hypothyroidism and hyperprolactinemia. Outcome was favorable with l-thyroxin supplementation resulting in TSH and prolactin levels normalization and pituitary mass resolution.
Pituitary hyperplasia due to primary hypothyroidism, although rare, should be recognized to avoid unnecessary surgery leading to irreversible complications.
原发性甲状腺功能减退所致垂体增生较为罕见且诊断不足。
我们报告一名18岁因垂体肿物就诊的患者，检查发现为原发性甲状腺功能减退。生物学指标证实存在严重的原发性甲状腺功能减退和高催乳素血症。补充左旋甲状腺素后情况良好，促甲状腺激素（TSH）和催乳素水平恢复正常，垂体肿物消退。
原发性甲状腺功能减退所致垂体增生虽罕见，但应予以识别，以避免不必要的手术及不可逆并发症。
