A case of hypothalamic sarcoidosis with hypopituitarism and prolonged remission of hypogonadism.
A 21-year-old man developed hypopituitarism, with symptomatic hypogonadism and diabetes insipidus (DI), as well as uveitis, retinal vasculitis, and papilledema in association with systemic sarcoidosis. A suprasellar tumor was demonstrated by computed tomography (CT). Although ophthalmic symptoms disappeared with prednisone and the DI was controlled with Desmopressin (DDAVP), the hypogonadism did not improve with human menopausal gonadotropin (HMG) and human chorionic gonadotropin (HCG). In long-term follow-up, the hypogonadism unexpectedly resolved.
Department of Internal Medicine, Kanto Chuo Hospital, Tokyo, Japan.
N
N
Hidaka
H
H
Takizawa
S
S
Miyachi
T
T
Hisatomi
T
T
Kosuda
T
T
Sato
D000328:Adult; D003919:Diabetes Insipidus / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D006801:Humans; D007006:Hypogonadism / Q000209:etiology / Q000503:physiopathology*; D007018:Hypopituitarism / Q000175:diagnosis / Q000209:etiology*; D007027:Hypothalamic Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D008297:Male; D011859:Radiography; D012507:Sarcoidosis / Q000150:complications* / Q000000981:diagnostic imaging; D014605:Uveitis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology