Hyperpituitarism
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| Hyperpituitarism Classification and external resources | |
| ICD-10 | E22. |
|---|---|
| ICD-9 | 253.1 |
| eMedicine | ped/1092 |
| MeSH | D006964 |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Phone:617-632-7753
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Hyperpituitarism is the result of excess secretion of adenohypophyseal trophic hormones most commonly by a functional pituitary adenoma. Other causes are hyperplasias and carcinomas of the adenohypophysis, secretion by non-pituitary tumours and certain hypothalamic disorders.
Clinical manifestations
Depending on the cell type(s) affected, clinical manifestations of hormone excess may include:
- Hyperprolactinaemia
- Cushing's disease
- Precocious puberty
- Gigantism or Acromegaly
- Hyperthyroidism (rare)
Associated conditions
When there is an enlargement of the pituitary tissue, hyperpituitarism is often associated with:
- Visual field defects, classically bitemporal hemianopia
- Radiographic abnormalities of the sella turcica, such as sellar expansion, bony erosion and disuption of the diaphragma sellae
- Increased intracranial pressure
Symptoms
Symptoms caused by hormone excess and associated mass effects include:
- Headache
- Visual field loss or Double vision
- Excessive sweating
- Hoarseness
- Milk secretion from breast
- Sleep apnea
- Carpal tunnel syndrome
- Joint pain and limitation of motion
- Muscle weakness
- Numbness or tingling of skin
Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
