Primary Hypoparathyroidism and Non-functioning Pituitary Adenoma: An Incidental Coexistence?

Authors

  • Lit Sin Yong Department of Medicine, Hospital Tuanku Ja’afar Seremban, Jalan Rasah, Seremban, Negeri Sembilan, Malaysia
  • Noorlita Adam Department of Medicine, Hospital Tuanku Ja’afar Seremban, Jalan Rasah, Seremban, Negeri Sembilan, Malaysia

Abstract

Primary hypoparathyroidism is caused by a group of heterogeneous conditions in which hypocalcemia and hyperphosphatemia occur as a result of deficient parathyroid hormone (PTH) secretion. The most common cause is surgical excision and damage to the parathyroid gland(s). Nonetheless, autoimmune endocrine disorder of primary hypothyroidism has been well-described in polyglandular autoimmune syndromes (PAS).1 Its association with pituitary lesion may be autoimmune lymphocytic hypophysitis as the cause for pituitary disorder. In this report, we encountered a patient with primary hypoparathyroidism who had a non-functioning pituitary tumour. It was confirmed as pituitary adenoma rather than lymphocytic hypophysitis from the histopathological examination. To our knowledge, this is the first reported case of non-functioning pituitary macroadenoma and primary hypoparathyroidism.

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References

Kahaly GJ. Polyglandular autoimmune syndromes. Eur J Endocrinol. 2009;161(1):11-20.

Ten S, New M, Maclaren N. Clinical review 130: Addison’s disease 2001. J Clin Endocrinol Metab. 2001;86(7):2909-22.

Fӧrster G, Krummenauer F, Kühn I et al. Polyglandular autoimmune syndrome type II: Epidemiology and forms of manifestation. Dtsch Med Wochenschr .1999;124(49):1476-81.

Arvanitakis C, Knouss RF. Selective hypopituitarism. Impaired cell-mediated immunity and chronic mucocutaneous candidiasis. JAMA. 1973;225(12):1492-5.

Salti IS, Mouradian A, Amiri Z et al. Hypopituitarism in a patient with idiopathic hypoparathyroidism. Can Med Assoc J. 1982;126(8):942-3.

Pestell RG, Best JD, Alford FP. Lymphocytic hypophysitis. The clinical spectrum of the disorder and evidence for an autoimmune pathogenesis. Clin Endocrinol (Oxf). 1990;33(4):457-66.

Durán Martinez M, Santonja C, Pavón de Paz I et al. Lymphocytic hypophysitis: Report of an unusual case of a rare disorder. J Endocrinol Invest. 2001;24(3):190-3.

Beressi N, Beressi JP, Cohen R et al. Lymphocytic hypophysitis. A review of 145 cases. Ann Med Interne (Paris). 1999;150(4):327-41.

Bellastella A, Bizzarro A, Coronella C et al. Lymphocytic hypophysitis: A rare or underestimated disease. Eur J Endocrinol. 2003;149(5):363-76.

Ahmadi J, Myers GS, Segall HD et al. Lymphocytic adenophypophysis: Contrast-enhanced MR imaging in five cases. Radiology. 1995;195(1):30-4.

Barbaro D, Loni G. Lymphocytic hypophysitis and autoimmune thyroid disease. J Endocrinol Invest. 2000;23(5):339-40.

De Bellis A, Bizzarro A, Bellastella A. Pituitary antibodies and lymphocytic hypophysitis. Best Pract Res Clin Endocrinol Metab. 2005;19(1);67-84.

McDonald-McGinn DM, Sullivan KE. Chromosome 22q11.2 deletion syndrome (DiGeorge syndrome/velocardiofacial syndrome). Medicine (Baltimore). 2011;90(1):1-18.

Hiéronimus S, Bec-Roche M, Pedeutour F et al. The spectrum of parathyroid gland dysfunction associated with the microdeletion 22q11. Eur J Endocrinol. 2006;155(1):47-52.

Published

2014-05-31

How to Cite

Yong, L. S., & Adam, N. (2014). Primary Hypoparathyroidism and Non-functioning Pituitary Adenoma: An Incidental Coexistence?. Journal of the ASEAN Federation of Endocrine Societies, 29(1), 86. Retrieved from https://www.asean-endocrinejournal.org/index.php/JAFES/article/view/121

Issue

Section

Case Reports