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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
10
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pubmed:dateCreated |
1998-1-27
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pubmed:abstractText |
A case of pituitary apoplexy occurring after Gd-DTPA-administration for contrast enhanced MRI in a patient with an hGH-producing macro-adenoma is presented. Within days the initially increased hGH level fell to the normal range, the oral glucose tolerance test (OGTT) showed a normal suppression of hGH and complete anterior pituitary insufficiency developed. At this time repeated MRI suggested a haemorrhagic infarction of the macro-adenoma. Fourteen months later re-examination confirmed spontaneous cure of the acromegaly, improvement of adenopituitary function and shrinkage of the sellar content. The causal linkage between the pituitary adenoma apoplexy and Gd-DTPA-administration is unclear. It might be due to contrast induced blood pressure and endothelial permeability changes, possibly promoted by pre-existing diabetes mellitus associated vasculopathy.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0001-6268
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
139
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
992-4
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pubmed:dateRevised |
2009-11-11
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pubmed:meshHeading |
pubmed-meshheading:9401663-Acromegaly,
pubmed-meshheading:9401663-Adenoma,
pubmed-meshheading:9401663-Adult,
pubmed-meshheading:9401663-Contrast Media,
pubmed-meshheading:9401663-Follow-Up Studies,
pubmed-meshheading:9401663-Gadolinium DTPA,
pubmed-meshheading:9401663-Human Growth Hormone,
pubmed-meshheading:9401663-Humans,
pubmed-meshheading:9401663-Magnetic Resonance Imaging,
pubmed-meshheading:9401663-Male,
pubmed-meshheading:9401663-Pituitary Apoplexy,
pubmed-meshheading:9401663-Pituitary Gland,
pubmed-meshheading:9401663-Pituitary Neoplasms,
pubmed-meshheading:9401663-Remission, Spontaneous
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pubmed:year |
1997
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pubmed:articleTitle |
Pituitary apoplexy with spontaneous cure of acromegaly and its possible relation to Gd-DTPA-administration.
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pubmed:affiliation |
Department of Clinical Biochemistry, University of Bonn, Federal Republic of Germany.
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pubmed:publicationType |
Journal Article,
Case Reports
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