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Gellner, V; Kurschel, S; Scarpatetti, M; Mokry, M.
Lymphocytic hypophysitis in the pediatric population.
Childs Nerv Syst. 2008; 24(7): 785-792. Doi: 10.1007/s00381-007-0577-1 (- Case Report)
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Leading authors Med Uni Graz
Gellner Verena
Kurschel-Lackner Senta
Co-authors Med Uni Graz
Mokry Michael
Scarpatetti Michael
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Abstract:
BACKGROUND: Lymphocytic hypophysitis (LYH) is a rare inflammatory disease of the pituitary gland that usually affects women in their ante- or immediate postpartum period; males are affected less frequently than females. An autoimmune pathogenesis is suggested. Symptoms comprise anterior and/or posterior pituitary insufficiency of varying degrees. So far, specific characteristics of this rare disease in childhood are not well described. CASE HISTORY: We report the case of a 12-year-and-11-month-old boy with histologically confirmed LYH clinically presenting with diabetes insipidus. A high-dose steroid therapy was administered, in which the therapeutic effect was uncertain. His 6-year follow-up is presented. DISCUSSION: The literature is reviewed for children presenting with LYH; their characteristics, pituitary involvement, and clinical follow-up are listed and discussed. CONCLUSION: Even though magnetic resonance imaging can be highly suspicious for LYH, only surgical exploration can confirm the diagnosis. The efficacy of medical treatment is still controversial; a close follow-up is necessary to control and correct the endocrinological function, if required.
Find related publications in this database (using NLM MeSH Indexing)
Child -
Diabetes Insipidus - complications
Follow-Up Studies -
Humans -
Lymphocytosis - complications
Magnetic Resonance Imaging -
Male -
Pediatrics -
Pituitary Diseases - complications

Find related publications in this database (Keywords)
lymphocytic hypophysitis
lymphocytic infundibulo-hypophysitis
diabetes insipidus
pediatric
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