{"title":"IgG4-related hypophysitis with the initial symptoms of central diabetes insipidus: a case report","authors":"Tingting Yuan, Guo-yun Wang, Xin Zhao","doi":"10.3760/CMA.J.ISSN.0254-9026.2019.12.027","DOIUrl":null,"url":null,"abstract":"报道一例主因烦渴、多饮、多尿，禁水垂体加压素试验符合中枢性尿崩症特征，鞍区增强核磁提示垂体和垂体柄炎性病变，实验室追查IgG4明显升高，考虑IgG4相关性垂体炎、中枢性尿崩症、自身免疫性胰腺炎。","PeriodicalId":9997,"journal":{"name":"中华老年医学杂志","volume":"38 1","pages":"1431-1432"},"PeriodicalIF":0.0000,"publicationDate":"2019-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"中华老年医学杂志","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.0254-9026.2019.12.027","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Report a case of main cause of thirst, polydipsia, and polyuria. The pituitary vasopressin test after water deprivation is consistent with the characteristics of central diabetes insipidus. Enhanced magnetic resonance imaging in the sellar region indicates inflammatory lesions in the pituitary gland and pituitary stalk. Laboratory investigation shows a significant increase in IgG4, considering IgG4 related pituitary inflammation, central diabetes insipidus, and autoimmune pancreatitis.
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