Deciphering the Presentation and Etiologies of Hypophysitis Highlights the Need for Repeated Systematical Investigation Article Swipe
Laura Miquel
,
Benoît Testud
,
F. Albarel
,
Nicolas Sahakian
,
Thomas Cuny
,
Thomas Graillon
,
Thierry Brue
,
H. Dufour
,
N. Schleinitz
,
Gilles Kaplanski
,
Mikaël Ebbo
,
Frédéric Castinetti
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1210/clinem/dgae664
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1210/clinem/dgae664
Context Hypophysitis is defined as an inflammation of the pituitary gland and/or infundibulum. Objective Our aim was to characterize the initial course and evolution of patients with hypophysitis according to the different etiologies. Methods Retrospective observational study conducted in a university referral hospital center. Patients over 15 years of age were included if they had a diagnosis of hypophysitis between January 2014 and October 2023, with the exclusion of hypophysitis secondary to immune checkpoint inhibitors. Results Sixty-one patients (64% women; median age, 34 years) were included. Polyuria–polydipsia, headache, and asthenia were present in 64%, 48%, and 44% of cases respectively. At diagnosis, at least 1 anterior pituitary deficiency was present in 91.5% of cases and vasopressin deficiency in 56%. Magnetic resonance imaging was abnormal in 97% of cases. Secondary hypophysitis was found in 46% of cases (n = 28), including sarcoidosis in 28% (n = 17) and L (Langerhans) group histiocytoses in 13.1% (n = 8). Among patients with secondary hypophysitis, pituitary deficiency preceded systemic manifestations in 23% and occurred concomitantly in 23% of cases. Patients were treated in 36% of cases (glucocorticoids, surgery), without improvement of pituitary hormone deficits. Conclusion A systemic etiology of hypophysitis was found in almost half of the patients. Pituitary disorders preceded the systemic disease in a quarter of the cases. This emphasizes the importance of a systematic repeated workup looking for a secondary etiology of hypophysitis in these patients.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1210/clinem/dgae664
- OA Status
- green
- Cited By
- 7
- References
- 28
- Related Works
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- OpenAlex ID
- https://openalex.org/W4402732446
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4402732446Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1210/clinem/dgae664Digital Object Identifier
- Title
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Deciphering the Presentation and Etiologies of Hypophysitis Highlights the Need for Repeated Systematical InvestigationWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-09-23Full publication date if available
- Authors
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Laura Miquel, Benoît Testud, F. Albarel, Nicolas Sahakian, Thomas Cuny, Thomas Graillon, Thierry Brue, H. Dufour, N. Schleinitz, Gilles Kaplanski, Mikaël Ebbo, Frédéric CastinettiList of authors in order
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https://doi.org/10.1210/clinem/dgae664Publisher landing page
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YesWhether a free full text is available
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greenOpen access status per OpenAlex
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https://amu.hal.science/hal-04930439Direct OA link when available
- Concepts
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Presentation (obstetrics), Hypophysitis, Etiology, Medicine, Pathology, Surgery, Internal medicine, Pituitary gland, HormoneTop concepts (fields/topics) attached by OpenAlex
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7Total citation count in OpenAlex
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2025: 6, 2024: 1Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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