Abstract: Isolated pituitary sarcoidosis simulating macro adenoma

Yahya A. Al Ezzy, MD*, Abdulhafez Al Selwi, MD**, Sadiq M. Amer, MBBS***
Associate Professor, Faculty of Medicine, Sana'a University, Head of Medical Department,
Al Thawra General Teaching Hospital, Sana'a Yemen*
Associate Professor, Faculty of Medicine, Sana'a University, Yemen**
Histopathology Department, Al Thawra General Teaching Hospital, Sana'a Yemen***
 

Abstract

This is a 49 years old Yemeni female patient, presented to out patient clinic with a history of headache of 3 months duration with clinical features and investigation of hypothyroidism and hyperprolactinemia. Her magnetic resonance imaging of the brain showed macroadenoma . She was subjected to transphenoidal pituitary adenoma resection and histopathological study suggested neurosarcoidosis. Further evaluation supported that diagnosis. She was treated with prednisolone 40mg/day in addition to thyroxine 50μgm/day, and on follow up later on prednisolone was reduced to 5mg/day along with azathioprin 100mg/ day and she progressed well.
 

Keywords: Sarcoidosis, pituitary gland, adenoma.