[Panhypopituitarism, Diabetes Insipidus and Bone Pain - Is There a Systemic Disease Behind it?]

Q4 Medicine
Praxis Pub Date : 2024-01-01
Martina Bertschinger, Lisa Sze, Irene Bosma, Corina Dommann-Scherrer, Jeroen Goede
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引用次数: 0

Abstract

Introduction: A 27-year-old man presented due to unilateral leg pain. He had a history of diabetes insipidus and panhypopituitarism. Laboratory analysis revealed hormonal undersupply. MRI showed a large contrast medium-absorbing mass in the pituitary gland extending into the hypothalamus. FDG-PET/CT examination revealed a hypermetabolic soft tissue lesion around the left femoral shaft. After biopsy of the lesion, a diagnosis of multisystemic Langerhans cell histiocytosis was made.

[泛垂体功能减退症、糖尿病性贫血和骨痛--背后有系统性疾病吗?]
简介一名 27 岁男子因单侧腿部疼痛前来就诊。他曾患有糖尿病和泛垂体功能减退症。实验室分析显示他体内激素供应不足。核磁共振成像显示垂体内有一个巨大的造影剂吸收肿块,一直延伸到下丘脑。FDG-PET/CT检查显示,左股骨柄周围有一个高代谢软组织病变。对病灶进行活检后,诊断为多系统朗格汉斯细胞组织细胞增生症。
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来源期刊
Praxis
Praxis Medicine-Medicine (all)
CiteScore
0.40
自引率
0.00%
发文量
146
审稿时长
12 weeks
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