A Case of Pituitary Macroadenoma Concurrently Diagnosed in a Patient Undergoing Antipsychotic Treatment / 대한내과학회지
Korean Journal of Medicine
;
: 78-82, 2015.
Artigo
em Coreano
| WPRIM
| ID: wpr-49738
ABSTRACT
Antipsychotics are the drug of choice for patients with schizophrenia, but they can induce hyperprolactinemia and growth of pituitary adenomas by blocking dopamine 2 receptors in the pituitary gland. In contrast, the medical treatment for a prolactinoma is a dopamine agonist. Therefore, managing a patient concurrently diagnosed with a prolactinoma and psychosis is challenging. We describe a patient with schizophrenia who was diagnosed with a prolactinoma. We changed his neuroleptic to quetiapine and prescribed bromocriptine for the prolactinoma. As a result, the patient was successfully treated with a dopamine agonist and antipsychotic without psychotic exacerbation. Our case suggests that dopamine agonists can be administrated to patients with schizophrenia and a prolactinoma without adversely affecting their psychopathological status.
Texto completo:
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Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Hipófise
/
Neoplasias Hipofisárias
/
Transtornos Psicóticos
/
Esquizofrenia
/
Antipsicóticos
/
Hiperprolactinemia
/
Prolactinoma
/
Dopamina
/
Bromocriptina
/
Agonistas de Dopamina
Tipo de estudo:
Estudo diagnóstico
Limite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Medicine
Ano de publicação:
2015
Tipo de documento:
Artigo
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