Pituitary involvement by Wegener's granulomatosis: a report of two cases.
Gregory L. Katzman, Carol A. Langford, Michael C. Sneller, Myles Koby, Nicholas J. Patronas
Abstract
Gregory L. Katzman, Carol A. Langford, Michael C. Sneller, Myles Koby, Nicholas J. Patronas
Abstract
We describe two cases of pituitary involvement by Wegener's granulomatosis. At initial presentation, or during subsequent disease "flares," a pattern of pituitary abnormality was suggested. During periods of remission, we found the pituitary returned to a nearly normal appearance. Loss of the normal posterior pituitary T1 hyper-intensity matched a clinical persistence of diabetes insipidus, suggesting there is permanent damage to this structure by the initial disease process.
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We describe two cases of pituitary involvement by Wegener's granulomatosis. At initial presentation, or during subsequent disease "flares," a pattern of pituitary abnormality was suggested. During periods of remission, we found the pituitary returned to a nearly normal appearance. Loss of the normal posterior pituitary T1 hyper-intensity matched a clinical persistence of diabetes insipidus, suggesting there is permanent damage to this structure by the initial disease process.
Key concepts: Medicine, Diabetes insipidus, Posterior pituitary, Abnormality, Presentation (obstetrics), Pituitary gland, Disease, Pathology