Your browser doesn't support javascript.
loading
Pituitary Hyperplasia in a Female Patient with a Severe Childhood Abuse History.
Perozo, Andrea Fragoso; Figueiredo, Tiago; Caarls, Michelle Botelho; Segenreich, Daniel; Neto, Leonardo Vieira.
Afiliação
  • Perozo AF; a Endocrinology Section, Medical School and Hospital Universitário Clementino Fraga Filho , Federal University of Rio de Janeiro , Ilha do Fundão, Rio de Janeiro , Brazil.
  • Figueiredo T; b Institute of Psychiatry (IPUB) , Federal University of Rio de Janeiro , Rio de Janeiro , Brazil.
  • Caarls MB; c Institute of Biomedical Sciences , Federal University of Rio de Janeiro , Ilha do Fundão, Rio de Janeiro , Brazil.
  • Segenreich D; b Institute of Psychiatry (IPUB) , Federal University of Rio de Janeiro , Rio de Janeiro , Brazil.
  • Neto LV; d Hospital Federal da Lagoa; Endocrinology Section, Medical School and Hospital Universitário Clementino Fraga Filho , Federal University of Rio de Janeiro, Ilha do Fundão , Rio de Janeiro , Brazil.
J Trauma Dissociation ; 19(2): 136-142, 2018.
Article em En | MEDLINE | ID: mdl-28281942
A 24-year-old Caucasian female patient was referred to our endocrinology service to investigate a structural magnetic resonance imaging (sMRI) finding of "pituitary mass". The first two sMRI were identified as pituitary adenoma but the following two examinations suggested the possibility of pituitary hyperplasia (PH). The patient was referred to our service for diagnostic clarification and therapy due to the divergence in sMRI reports and the surgical procedure indicated by the neurosurgical team of the other institution. The patient had no complaints, laboratory tests were all normal, and the sMRI clearly showed a PH. However, what caught our attention was her behavior. During the interview she was intermittently talking and acting like a child even though her age was 24. She reported being a foster child and was severely mistreated during childhood. Parallel psychiatric evaluation was requested and an association between the PH and the childhood abuse was identified. Early life stress may be associated with accelerated pituitary gland volume development, but there is still a paucity of data in literature about this issue. We should be aware of other cases like this one, and a correct differential diagnosis may contribute to contraindicate transsphenoidal surgery. When a childhood abuse history is present, we recommend admission to a psychiatric facility for adequate treatment.
Assuntos
Palavras-chave
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Hipófise / Imageamento por Ressonância Magnética / Sobreviventes Adultos de Maus-Tratos Infantis Tipo de estudo: Diagnostic_studies / Prognostic_studies Limite: Adult / Female / Humans Idioma: En Revista: J Trauma Dissociation Assunto da revista: TRAUMATOLOGIA Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Hipófise / Imageamento por Ressonância Magnética / Sobreviventes Adultos de Maus-Tratos Infantis Tipo de estudo: Diagnostic_studies / Prognostic_studies Limite: Adult / Female / Humans Idioma: En Revista: J Trauma Dissociation Assunto da revista: TRAUMATOLOGIA Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido