論文

査読有り 本文へのリンクあり
2019年

Pituitary apoplexy after cardiac surgery in a 14-year-old girl with carney complex: A case report

Endocrine Journal
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回数 : 31
  • Yuki Naito
  • ,
  • Jun Mori
  • ,
  • Jun Tazoe
  • ,
  • Akimasa Tomida
  • ,
  • Shigeki Yagyu
  • ,
  • Hisakazu Nakajima
  • ,
  • Tomoko Iehara
  • ,
  • Kazunori Tatsuzawa
  • ,
  • Tokuo Mukai
  • ,
  • Hajime Hosoi

66
12
開始ページ
1117
終了ページ
1123
記述言語
英語
掲載種別
DOI
10.1507/endocrj.EJ19-0183

A 14-year-old girl was referred to our department because of headache and visual impairment following the resection of recurrent cardiac myxoma. Head magnetic resonance imaging (MRI) scan detected an intra-and supra-sellar tumor. Moreover, the patient showed the presence of spotty skin pigmentations on her cheeks and lower lip. Blood examination revealed hypothyrotropinemia, and ultrasonography results revealed multiple thyroid nodules. She was diagnosed with Carney complex (CNC). Her pituitary tumor was suspected as growth hormone (GH)-secreting adenoma, because overgrowth was observed in the patient. However, biochemical examinations, including oral glucose tolerance test, failed to show the characteristic findings of GH-secreting adenoma. In contrast, insulin tolerance test showed GH deficiency. Her visual impairment improved without performing decompression surgery, and the tumor size decreased, as per the MRI findings. Based on clinical course, the patient was diagnosed with pituitary apoplexy in pituitary adenoma, following which she was discharged. At 3 months after discharge, thyrotropin-releasing hormone loading test performed revealed low thyrotropin-stimulating hormone and thyroid hormone levels, and the patient was in a depressed mood. Therefore, l-T4 replacement was initiated, following which her GH secretory capacity gradually improved. Here, we report, to the best of our knowledge, the first case of a patient with pituitary apoplexy in CNC. Such condition must be identified in young patients with recurrent cardiac myxoma, and examinations, such as head MRI, must be performed.

リンク情報
DOI
https://doi.org/10.1507/endocrj.EJ19-0183
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/31484850
Scopus
https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85077221969&origin=inward 本文へのリンクあり
Scopus Citedby
https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=85077221969&origin=inward
ID情報
  • DOI : 10.1507/endocrj.EJ19-0183
  • ISSN : 0918-8959
  • eISSN : 1348-4540
  • PubMed ID : 31484850
  • SCOPUS ID : 85077221969

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