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垂体功能障碍合并嗜酸性肉芽肿性多血管炎伴尿崩症:一例报告及文献复习

Pituitary dysfunction with eosinophilic granulomatosis with polyangiitis presenting with diabetes insipidus: a case report and review of the literature.

作者信息

Zhang Aifei, Liu Xiaoxia, Wu Pengjia, Qin Longyan, Li Na, Yin Yi, Zeng Jiashun

机构信息

Department of Rheumatology and Immunology, The Affiliated Hospital of Guizhou Medical University, Guiyang, China.

Department of Radiology, The Affiliated Hospital of Guizhou Medical University, Guiyang, China.

出版信息

Front Immunol. 2025 Jun 6;16:1557555. doi: 10.3389/fimmu.2025.1557555. eCollection 2025.

DOI:10.3389/fimmu.2025.1557555
PMID:40547018
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12179163/
Abstract

Central diabetes insipidus secondary to hypophysitis in eosinophilic granulomatosis with polyangiitis (EGPA) is very rare, and this article summarizes one case reported from our site as well as two previously reported patients with EGPA, both of whom had central diabetes insipidus, suggesting that new, rare organ involvement (pituitary gland) may occur in the early stages of EGPA or years later. The aim is to improve our understanding of central diabetes insipidus caused by EGPA involving the pituitary gland and avoid misdiagnosis or missed diagnosis.

摘要

嗜酸性肉芽肿性多血管炎(EGPA)继发垂体炎导致的中枢性尿崩症非常罕见,本文总结了我们医院报告的一例病例以及之前报道的另外两例EGPA患者,这两位患者均患有中枢性尿崩症,提示在EGPA的早期或数年后可能会出现新的、罕见的器官受累(垂体)情况。目的是提高我们对EGPA累及垂体导致中枢性尿崩症的认识,避免误诊或漏诊。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7983/12179163/04df9afa4e21/fimmu-16-1557555-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7983/12179163/04df9afa4e21/fimmu-16-1557555-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7983/12179163/04df9afa4e21/fimmu-16-1557555-g001.jpg

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本文引用的文献

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Mepolizumab as an effective treatment in a case of hypophysitis in eosinophilic granulomatosis with polyangiitis.美泊利单抗治疗嗜酸性肉芽肿性多血管炎合并垂体炎1例疗效观察
Ther Adv Neurol Disord. 2023 Jun 22;16:17562864231182519. doi: 10.1177/17562864231182519. eCollection 2023.
2
Diagnosis and management of prolactin-secreting pituitary adenomas: a Pituitary Society international Consensus Statement.催乳素分泌型垂体腺瘤的诊断和治疗:垂体学会国际共识声明。
Nat Rev Endocrinol. 2023 Dec;19(12):722-740. doi: 10.1038/s41574-023-00886-5. Epub 2023 Sep 5.
3
Evidence-Based Guideline for the diagnosis and management of eosinophilic granulomatosis with polyangiitis.
循证指南:嗜酸性肉芽肿性多血管炎的诊断与管理。
Nat Rev Rheumatol. 2023 Jun;19(6):378-393. doi: 10.1038/s41584-023-00958-w. Epub 2023 May 9.
4
New developments and concepts in the diagnosis and management of diabetes insipidus (AVP-deficiency and resistance).尿崩症(抗利尿激素缺乏和抵抗)诊断与管理的新进展和概念
J Neuroendocrinol. 2023 Jan;35(1):e13233. doi: 10.1111/jne.13233. Epub 2023 Jan 22.
5
Clinical features of central nervous system involvement in patients with eosinophilic granulomatosis with polyangiitis: a retrospective cohort study in China.中国一项回顾性队列研究:嗜酸性肉芽肿性多血管炎患者中枢神经系统受累的临床特征。
Orphanet J Rare Dis. 2021 Mar 31;16(1):152. doi: 10.1186/s13023-021-01780-x.
6
Central nervous system involvement in eosinophilic granulomatosis with polyangiitis (Churg-Strauss): Report of 26 patients and review of the literature.嗜酸性肉芽肿性多血管炎(Churg-Strauss)中枢神经系统受累:26 例患者报告及文献复习。
Autoimmun Rev. 2017 Sep;16(9):963-969. doi: 10.1016/j.autrev.2017.07.007. Epub 2017 Jul 12.
7
Pituitary dysfunction in granulomatosis with polyangiitis.肉芽肿性多血管炎的垂体功能障碍。
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8
Diabetes insipidus induced by suspected eosinophilic granulomatous with polyangiitis.疑似嗜酸性肉芽肿性多血管炎所致尿崩症
Postgrad Med J. 2017 May;93(1099):298-299. doi: 10.1136/postgradmedj-2016-134148. Epub 2016 Nov 2.
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