中华医学杂志（英文版）2012，Vol.125Issue(15)：2787-2789,3.DOI:10.3760/cma.j.issn.0366-6999.2012.15.028
One hemodialysis patient with headache, blurred vision, and hypotension induced by pituitary prolactinoma
One hemodialysis patient with headache, blurred vision, and hypotension induced by pituitary prolactinoma
DAI Wen-di 1LIU Wen-hu 1ZHANG Dong-liang1
作者信息
- 1. Department of Nephrology, Beijing Friendship Hospital, Faculty of Kidney Diseases, Capital Medical University, Beijing 100050,China
- 折叠
摘要
Abstract
We reported a rare case of a dialysis patient coincident pituitary prolactinoma with calcification.A 55-year-old woman who had undergone hemodialysis for 8 years was admitted to the nephrology unit because of headache,blurred vision.and hypotension.Physical examination was normal; endocrinological examination demonstrated elevated serum levels of prolactin (＞4240 mlU/L).but other hormonal profiles,such as growth hormon,adrenocorticotropic hormone,thyroid stimulating hormone,free triiodothyronine,free thyroxine,follicle-stimulating hormone and luteinizing hormone,were absolutely or relatively lower.A cranial computed tomography (CT) suggested saddle area a high-density screenage with an anteroposterior diameter of 1.0 cm.A cerebral magnetic resonance scan confirmed the pituitary adenoma accompanied with calcification.Contrast-enhanced T1-weighted images revealed a less enhancing tumor,14 mm wideround lesion with a high intensity signal.It enlarges the sella turcica,but the optic chiasma is not displaced.We suggest that in the differential diagnosis of any hemodialysis patient with severe headache,hypotension.and visual disturbances,this syndrome should be considered as prompt pituitary adenoma.关键词
pituitary adenoma/prolactinoma/hemodialysis/headache/hypopituitarismKey words
pituitary adenoma/prolactinoma/hemodialysis/headache/hypopituitarism引用本文复制引用
DAI Wen-di,LIU Wen-hu,ZHANG Dong-liang..One hemodialysis patient with headache, blurred vision, and hypotension induced by pituitary prolactinoma[J].中华医学杂志（英文版）,2012,125(15):2787-2789,3.
