Primary hypothyroidism in a child simulating a prolactin-secreting adenoma
Autor(a) principal: | |
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Data de Publicação: | 2008 |
Outros Autores: | |
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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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). No. of bitstreams: 1 __www.springerlink.com_c...x76g20358gn33q84_fulltext.pdf: 119711 bytes, checksum: 149bf57e38d937e13c051b2334720644 (MD5) Previous issue date: 2008http://www.springerlink.com/content/x76g20358gn33q84/fulltext.pdfreponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAPrimary hypothyroidismPituitary macroadenomaProlactinomaHyperprolactinemiaPrimary hypothyroidism in a child simulating a prolactin-secreting adenomaCHILDS NERVOUS SYSTEMinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10000-01-01enginfo:eu-repo/semantics/openAccessLICENSElicense.txtlicense.txttext/plain1762https://repositorio.ufba.br/bitstream/ri/5948/2/license.txt1b89a9a0548218172d7c829f87a0eab9MD52ORIGINAL__www.springerlink.com_c...x76g20358gn33q84_fulltext.pdf__www.springerlink.com_c...x76g20358gn33q84_fulltext.pdfapplication/pdf119711https://repositorio.ufba.br/bitstream/ri/5948/1/__www.springerlink.com_c...x76g20358gn33q84_fulltext.pdf149bf57e38d937e13c051b2334720644MD51TEXT__www.springerlink.com_c...x76g20358gn33q84_fulltext.pdf.txt__www.springerlink.com_c...x76g20358gn33q84_fulltext.pdf.txtExtracted texttext/plain15141https://repositorio.ufba.br/bitstream/ri/5948/3/__www.springerlink.com_c...x76g20358gn33q84_fulltext.pdf.txt990d2e571cde944af8cb17ea32f82ec1MD53ri/59482022-07-05 14:03:20.958oai:repositorio.ufba.br:ri/5948VGVybW8gZGUgTGljZW7vv71hLCBu77+9byBleGNsdXNpdm8sIHBhcmEgbyBkZXDvv71zaXRvIG5vIHJlcG9zaXTvv71yaW8gSW5zdGl0dWNpb25hbCBkYSBVRkJBCgogICAgUGVsbyBwcm9jZXNzbyBkZSBzdWJtaXNz77+9byBkZSBkb2N1bWVudG9zLCBvIGF1dG9yIG91IHNldQpyZXByZXNlbnRhbnRlIGxlZ2FsLCBhbyBhY2VpdGFyIGVzc2UgdGVybW8gZGUgbGljZW7vv71hLCBjb25jZWRlIGFvClJlcG9zaXTvv71yaW8gSW5zdGl0dWNpb25hbCBkYSBVbml2ZXJzaWRhZGUgRmVkZXJhbCBkYSBCYWhpYSBvIGRpcmVpdG8KZGUgbWFudGVyIHVtYSBj77+9cGlhIGVtIHNldSByZXBvc2l077+9cmlvIGNvbSBhIGZpbmFsaWRhZGUsIHByaW1laXJhLCAKZGUgcHJlc2VydmHvv73vv71vLiBFc3NlcyB0ZXJtb3MsIG7vv71vIGV4Y2x1c2l2b3MsIG1hbnTvv71tIG9zIGRpcmVpdG9zIGRlIAphdXRvci9jb3B5cmlnaHQsIG1hcyBlbnRlbmRlIG8gZG9jdW1lbnRvIGNvbW8gcGFydGUgZG8gYWNlcnZvIGludGVsZWN0dWFsIGRlc3NhIFVuaXZlcnNpZGFkZS4gCgogICAgUGFyYSBvcyBkb2N1bWVudG9zIHB1YmxpY2Fkb3MgY29tIHJlcGFzc2UgZGUgZGlyZWl0b3MgZGUgZGlzdHJpYnVp77+977+9bywgZXNzZSB0ZXJtbyBkZSBsaWNlbu+/vWEgZW50ZW5kZSBxdWU6IAoKICAgIE1hbnRlbmRvIG9zICBkaXJlaXRvcyBhdXRvcmFpcywgcmVwYXNzYWRvcyBhIHRlcmNlaXJvcywgZW0gY2FzbyAKZGUgcHVibGljYe+/ve+/vWVzLCBvIHJlcG9zaXTvv71yaW8gcG9kZSByZXN0cmluZ2lyIG8gYWNlc3NvIGFvIHRleHRvIAppbnRlZ3JhbCwgbWFzIGxpYmVyYSBhcyBpbmZvcm1h77+977+9ZXMgc29icmUgbyBkb2N1bWVudG8gKE1ldGFkYWRvcyBkZXNjcml0aXZvcykuCgogRGVzdGEgZm9ybWEsIGF0ZW5kZW5kbyBhb3MgYW5zZWlvcyBkZXNzYSB1bml2ZXJzaWRhZGUgCmVtIG1hbnRlciBzdWEgcHJvZHXvv73vv71vIGNpZW5077+9ZmljYSBjb20gYXMgcmVzdHJp77+977+9ZXMgaW1wb3N0YXMgcGVsb3MgCmVkaXRvcmVzIGRlIHBlcmnvv71kaWNvcy4gCgogICAgUGFyYSBhcyBwdWJsaWNh77+977+9ZXMgZW0gaW5pY2lhdGl2YXMgcXVlIHNlZ3VlbSBhIHBvbO+/vXRpY2EgZGUgCkFjZXNzbyBBYmVydG8sIG9zIGRlcO+/vXNpdG9zIGNvbXB1bHPvv71yaW9zIG5lc3NlIHJlcG9zaXTvv71yaW8gbWFudO+/vW0gCm9zIGRpcmVpdG9zIGF1dG9yYWlzLCBtYXMgbWFudO+/vW0gbyBhY2Vzc28gaXJyZXN0cml0byBhbyBtZXRhZGFkb3MgCmUgdGV4dG8gY29tcGxldG8uIEFzc2ltLCBhIGFjZWl0Ye+/ve+/vW8gZGVzc2UgdGVybW8gbu+/vW8gbmVjZXNzaXRhIGRlIApjb25zZW50aW1lbnRvIHBvciBwYXJ0ZSBkZSBhdXRvcmVzL2RldGVudG9yZXMgZG9zIGRpcmVpdG9zLCBwb3IgCmVzdGFyZW0gZW0gaW5pY2lhdGl2YXMgZGUgYWNlc3NvIGFiZXJ0by4KCiAgICBFbSBhbWJvcyBvIGNhc28sIGVzc2UgdGVybW8gZGUgbGljZW7vv71hLCBwb2RlIHNlciBhY2VpdG8gcGVsbyAKYXV0b3IsIGRldGVudG9yZXMgZGUgZGlyZWl0b3MgZS9vdSB0ZXJjZWlyb3MgYW1wYXJhZG9zIHBlbGEgCnVuaXZlcnNpZGFkZS4gRGV2aWRvIGFvcyBkaWZlcmVudGVzIHByb2Nlc3NvcyBwZWxvIHF1YWwgYSBzdWJtaXNz77+9byAKcG9kZSBvY29ycmVyLCBvIHJlcG9zaXTvv71yaW8gcGVybWl0ZSBhIGFjZWl0Ye+/ve+/vW8gZGEgbGljZW7vv71hIHBvciAKdGVyY2Vpcm9zLCBzb21lbnRlIG5vcyBjYXNvcyBkZSBkb2N1bWVudG9zIHByb2R1emlkb3MgcG9yIGludGVncmFudGVzIApkYSBVRkJBIGUgc3VibWV0aWRvcyBwb3IgcGVzc29hcyBhbXBhcmFkYXMgcG9yIGVzdGEgaW5zdGl0dWnvv73vv71vLgo=Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-07-05T17:03:20Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false |
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 |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
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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 |
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eng |
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info:eu-repo/semantics/openAccess |
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openAccess |
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