Primary hypothyroidism in a child simulating a prolactin-secreting adenoma

Detalhes bibliográficos
Autor(a) principal: Alves, Crésio de Aragão Dantas
Data de Publicação: 2008
Outros Autores: Alves, Ana Cláudia
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://www.repositorio.ufba.br/ri/handle/ri/5948
Resumo: Acesso restrito: Texto completo. p. 1505-1508
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spelling Alves, Crésio de Aragão DantasAlves, Ana CláudiaAlves, Crésio de Aragão DantasAlves, Ana Cláudia2012-05-24T13:10:08Z20080256-7040http://www.repositorio.ufba.br/ri/handle/ri/5948v. 24, n. 12Acesso restrito: Texto completo. p. 1505-1508Objects To report a case of primary hypothyroidism associated to hyperprolactinemia mimicking a prolactin secreting adenoma. Materials and methods A girl (10 years and 10 months old) was evaluated for hyperprolactinemia (prolactin: 317 ng/ mL [1.9–25]). Diagnostic evaluation demonstrated free thyroxine (F-T4): 0.22 ng/dL (0.75–1.80) and thyroidstimulating hormone (TSH): 135 UI/mL (0.3–5.0). Pituitary magnetic resonance imaging (MRI) showed an intrasellar and suprasellar mass measuring 1.9×1.7×1.7 cm, impinging on the optic chiasm. Due to the possibility of a pseudoprolactinoma caused by hyperplasia of the TSH and prolactin-producing cells, she was treated for the primary hypothyroidism with levothyroxine. After 2 months, F-T4, TSH, and prolactin returned to normal values. A new pituitary MRI, 8 months later, demonstrated a complete resolution of the pituitary mass confirming the initial suspicion of thyrotroph hyperplasia. Conclusion This paper illustrates the importance of thyroid function investigation in patients with hyperprolactinemia and possible prolactinoma in order to avoid unnecessary surgery.Submitted by JURANDI DE SOUZA SILVA (jssufba@hotmail.com) on 2012-05-24T13:10:08Z No. of bitstreams: 1 __www.springerlink.com_c...x76g20358gn33q84_fulltext.pdf: 119711 bytes, checksum: 149bf57e38d937e13c051b2334720644 (MD5)Made available in DSpace on 2012-05-24T13:10:08Z (GMT). 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dc.title.pt_BR.fl_str_mv Primary hypothyroidism in a child simulating a prolactin-secreting adenoma
dc.title.alternative.pt_BR.fl_str_mv CHILDS NERVOUS SYSTEM
title Primary hypothyroidism in a child simulating a prolactin-secreting adenoma
spellingShingle Primary hypothyroidism in a child simulating a prolactin-secreting adenoma
Alves, Crésio de Aragão Dantas
Primary hypothyroidism
Pituitary macroadenoma
Prolactinoma
Hyperprolactinemia
title_short Primary hypothyroidism in a child simulating a prolactin-secreting adenoma
title_full Primary hypothyroidism in a child simulating a prolactin-secreting adenoma
title_fullStr Primary hypothyroidism in a child simulating a prolactin-secreting adenoma
title_full_unstemmed Primary hypothyroidism in a child simulating a prolactin-secreting adenoma
title_sort Primary hypothyroidism in a child simulating a prolactin-secreting adenoma
author Alves, Crésio de Aragão Dantas
author_facet Alves, Crésio de Aragão Dantas
Alves, Ana Cláudia
author_role author
author2 Alves, Ana Cláudia
author2_role author
dc.contributor.author.fl_str_mv Alves, Crésio de Aragão Dantas
Alves, Ana Cláudia
Alves, Crésio de Aragão Dantas
Alves, Ana Cláudia
dc.subject.por.fl_str_mv Primary hypothyroidism
Pituitary macroadenoma
Prolactinoma
Hyperprolactinemia
topic Primary hypothyroidism
Pituitary macroadenoma
Prolactinoma
Hyperprolactinemia
description Acesso restrito: Texto completo. p. 1505-1508
publishDate 2008
dc.date.issued.fl_str_mv 2008
dc.date.accessioned.fl_str_mv 2012-05-24T13:10:08Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://www.repositorio.ufba.br/ri/handle/ri/5948
dc.identifier.issn.none.fl_str_mv 0256-7040
dc.identifier.number.pt_BR.fl_str_mv v. 24, n. 12
identifier_str_mv 0256-7040
v. 24, n. 12
url http://www.repositorio.ufba.br/ri/handle/ri/5948
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.pt_BR.fl_str_mv http://www.springerlink.com/content/x76g20358gn33q84/fulltext.pdf
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFBA
instname:Universidade Federal da Bahia (UFBA)
instacron:UFBA
instname_str Universidade Federal da Bahia (UFBA)
instacron_str UFBA
institution UFBA
reponame_str Repositório Institucional da UFBA
collection Repositório Institucional da UFBA
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