Diagnostic work-up of hyperprolactinemic disorders.
Substantial advances have been made in the understanding of chronic hyperprolactinemia. The diagnostic effort should be directed at excluding physiological and pharmacological causes of chronic hyperprolactinemia, both of which are reversible and are not likely to be of grave consequence. Subsequently further efforts should be made to rule out obvious pathological entities, in particular, treatable hypothyroidism. Finally, the diagnosis of prolactinoma must be entertained. It relies on the biochemical determination of prolactin as well as direct imaging of the pituitary.
Adashi
E Y
EY
Department of Obstetrics and Gynecology, Univesity of Maryland School of Medicine, Baltimore 21201.
Katz
E
E
D014150:Antipsychotic Agents / Q000009:adverse effects; D002927:Cimetidine / Q000009:adverse effects; D004967:Estrogens / Q000009:adverse effects; D005260:Female; D006801:Humans; D006966:Hyperprolactinemia / Q000139:chemically induced / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D007037:Hypothyroidism / Q000150:complications / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D012110:Reserpine / Q000009:adverse effects; D014057:Tomography, X-Ray Computed
D014150:Antipsychotic Agents; D004967:Estrogens; D002927:Cimetidine; D012110:Reserpine