title: Gynecomastia and Hyperprolactinemia Secondary to Advanced Allergic Fungal Rhinosinusitis in a Pediatric Patient.
abstract: Hyperprolactinemia is a rare entity in the pediatric population. The most common causes of hyperprolactinemia include drug use, hypothyroidism and renal insufficiency, though rarely a pituitary or sellar mass is discovered. We present an immunocompetent pediatric patient who presented with gynecomastia and was found to have hyperprolactinemia. Imaging showed a sphenoid mass and referral was made for a pituitary tumor. The mass was not a pituitary tumor and he was formally diagnosed with allergic fungal sinusitis and treated surgically. There are no previous reports of allergic fungal rhinosinusitis causing pituitary dysfunction in a pediatric patient. We also present a brief review and discussion of the treatment of allergic fungal sinusitis.
authors.affiliation: University of Alabama at Birmingham School of Medicine, Department of Neurological Surgery, Birmingham, AL, USA.
authors.forename: Joshua Y
authors.initials: JY
authors.lastname: Menendez
authors.forename: Bradford A
authors.initials: BA
authors.lastname: Woodworth
authors.forename: James M
authors.initials: JM
authors.lastname: Johnston
mesh_terms: D000293:Adolescent; D006177:Gynecomastia / Q000209:etiology*; D006801:Humans; D006966:Hyperprolactinemia / Q000209:etiology*; D006967:Hypersensitivity / Q000382:microbiology*; D008297:Male; D009181:Mycoses / Q000150:complications*; D012852:Sinusitis / Q000382:microbiology*