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Year : 2021  |  Volume : 9  |  Issue : 2  |  Page : 80-83

A rare case report of hypophysitis in pituitary macroadenoma mimicking pituitary apoplexy

1 Department of Neuro Ophthalmology, Aravind Eye Hospital, Madurai, Tamil Nadu, India
2 Department of General Ophthalmology, Aravind Eye Hospital, Puducherry, India

Correspondence Address:
Sivagami Nachiappan
C/o Aravind Eye Hospital, Cuddalore Main Road, Thavalakuppam, Puducherry - 605 007
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jcor.jcor_123_20

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Hypophysitis, a rare inflammatory disorder of the pituitary gland is often misdiagnosed as mass lesion. Granulomatous hypophysitis presenting clinically as pituitary apoplexy is rare. A 23-year-old woman with pituitary macroadenoma presented with sudden diminution of vision in the right eye with features clinically mimicking pituitary apoplexy. Imaging revealed pituitary macroadenoma with hypophysitis. After a course of high-dose intravenous corticosteroids, her visual acuity improved to 6/6. Although apoplexy and hypophysitis have subtle clinical and radiological differences, it is essential to differentiate them to avoid unnecessary invasive procedures when conservative treatment can suffice.

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