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Management peculiarities of patients with hyperprolactinemia in case of mass formations of the hypothalamic-pituitary region: a clinical case

https://doi.org/10.15829/2713-0177-2023-4-28

Abstract

Hyperprolactinemia is a condition characterized by persistently elevated blood prolactin level. The most prominent manifestations of it are reproductive dysfunction, as well as fat and carbohydrate metabolism disorders, including body weight gain, dyslipidemia, impaired glucose tolerance, and insulin resistance. We describe here a case of hyperprolactinemia in a young man and perform differential diagnosis of prolactinoma with craniopharyngioma. The article demonstrates that initiation of treatment with dopamine agonists allows us to make a correct diagnosis and to determine optimal tactic of management – either therapy or surgery.

About the Authors

T. M. Frolova
Endocrinology Research Centre
Russian Federation

Tatyana M. Frolova – resident, MD

Moscow



S. Yu. Vorotnikova
Endocrinology Research Centre
Russian Federation

Svetlana Yu. Vorotnikova – Cand. Sci. (Med.)

Moscow



A. S. Shutova
Endocrinology Research Centre
Russian Federation

Aleksandra S. Shutova – postgraduate student, endocrinologist

Moscow



L. K. Dzeranova
Endocrinology Research Centre
Russian Federation

Larisa K. Dzeranova – D. Sci. (Med.)

Moscow



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Review

For citations:


Frolova T.M., Vorotnikova S.Yu., Shutova A.S., Dzeranova L.K. Management peculiarities of patients with hyperprolactinemia in case of mass formations of the hypothalamic-pituitary region: a clinical case. FOCUS. Endocrinology. 2023;4(4):64-69. (In Russ.) https://doi.org/10.15829/2713-0177-2023-4-28

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ISSN 2713-0177 (Print)
ISSN 2713-0185 (Online)