IgG4-related Hypophysitis with Subtle Hypopituitarism in an Elderly Diabetic Patient: Is Treatment or Observation Preferable?

A 70-year-old man with diabetes mellitus presented with an enlarged pituitary stalk in 2014. IgG4-related parotitis and submandibular sialoadenitis were diagnosed in 2012. He denied any symptoms related to a pituitary mass. His visual field was intact, and his hypopituitarism was subtle. The serum I...

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Veröffentlicht in:	Internal Medicine 2017/10/15, Vol.56(20), pp.2733-2738
Hauptverfasser:	Kawasaki, Motoki, Tsujino, Motoyoshi, Sato, Fuminori, Sakurada, Maya, Nishida, Kenji, Kise, Takayasu, Hijioka, Yuko, Ishizawa, Mitsugu, Enatsu, Kazuaki, Ogawa, Yoshihiro
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Autoimmune Hypophysitis - complications Autoimmune Hypophysitis - diagnosis Biopsy Case Report Diabetes Diabetes mellitus Fibrosis Geriatrics glucocorticoid Humans hypophysitis Hypopituitarism Hypopituitarism - complications IgG4 Immunoglobulin G Immunoglobulin G - blood Immunoglobulin G - immunology Internal medicine Male natural course Older people Parotitis Pituitary Pituitary Gland - pathology Plasma Cells Sialoadenitis Visual field Visual fields
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