Cryptorchidism is a useful clue for Idiopathic Hypogonadotropic Hypogonadism in Pituitary Stalk Thickening / Journal of the ASEAN Federation of Endocrine Societies
Journal of the ASEAN Federation of Endocrine Societies
;
: 95-97, 2021.
Artículo
en Inglés
| WPRIM
| ID: wpr-961974
ABSTRACT
@#Pituitary stalk lesions can represent a wide range of pathologies. The exact cause is often unknown due to hesitancy to proceed with biopsy. We present a 16-year-old adolescent who presented with delayed puberty, short stature and bilateral cryptorchidism. He was found to have a thickened pituitary stalk of uncertain etiology with partial hypopituitarism (gonadotrophin and growth hormone deficiency) on further assessment. The presence of bilateral cryptorchidism and micropenis represents lack of “mini puberty,” a phenomenon of activation of the hypothalamic-pituitary-gonadal (HPG) axis in-utero or within the first few months of life.1 These key clinical features have been useful to establish an early temporal relationship and suggest a congenital origin of disease. This enabled a more conservative approach of surveillance to be employed as opposed to invasive pathological examination with pituitary stalk biopsy.
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Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Enfermedades de la Hipófisis
/
Hormona del Crecimiento
/
Criptorquidismo
/
Hipopituitarismo
Idioma:
Inglés
Revista:
Journal of the ASEAN Federation of Endocrine Societies
Año:
2021
Tipo del documento:
Artículo
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