University Library
  • Login
A gateway to Melbourne's research publications
Minerva Access is the University's Institutional Repository. It aims to collect, preserve, and showcase the intellectual output of staff and students of the University of Melbourne for a global audience.
View Item 
  • Minerva Access
  • Medicine, Dentistry & Health Sciences
  • Florey Department of Neuroscience and Mental Health
  • Florey Department of Neuroscience and Mental Health - Research Publications
  • View Item
  • Minerva Access
  • Medicine, Dentistry & Health Sciences
  • Florey Department of Neuroscience and Mental Health
  • Florey Department of Neuroscience and Mental Health - Research Publications
  • View Item
JavaScript is disabled for your browser. Some features of this site may not work without it.

    Rare presentation of Wegener's granulomatosis in the pituitary gland: Case report and literature review

    Thumbnail
    Download
    Published version (1.722Mb)

    Citations
    Scopus
    Altmetric
    4
    Author
    Baird, SM; Pratap, U; McLean, C; Law, CP; Maartens, N
    Date
    2017-01-01
    Source Title
    International Journal of Surgery Case Reports
    Publisher
    ELSEVIER SCI LTD
    University of Melbourne Author/s
    McLean, Catriona; Maartens, Nicholas; Law, Candice
    Affiliation
    Florey Department of Neuroscience and Mental Health
    Medical Education
    Medicine and Radiology
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Baird, S. M., Pratap, U., McLean, C., Law, C. P. & Maartens, N. (2017). Rare presentation of Wegener's granulomatosis in the pituitary gland: Case report and literature review. INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS, 33, pp.24-26. https://doi.org/10.1016/j.ijscr.2017.02.014.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/258418
    DOI
    10.1016/j.ijscr.2017.02.014
    Abstract
    INTRODUCTION: Wegener's granulomatosis (WG) is a systemic vasculitis that can affect a variety of organs including ear, nose and throat, lungs and kidneys. However WG is unusual in the pituitary and rare in the central nervous system. PRESENTATION OF CASE: A 56-year-old male with likely WG presented with polyuria and polydipsia despite six months of conservative medical management. MRI scanning revealed an enlarging heterogeneously enhancing pituitary gland. Following endoscopic transsphenoidal pituitary biopsy and debulking, final tissue pathology was diagnostic for WG in the pituitary gland. DISCUSSION: Diagnosis remains difficult but most patients present with central diabetes insipidus (CDI) as well as varying degrees of hypopituitarism on a background of disease activity in other organs. Clinical judgment needs to balance the need for invasive surgical tissue diagnosis with increasing immunosuppressive therapy. CONCLUSION: It is important to consider this rare complication of WG to ensure timely diagnosis and management.

    Export Reference in RIS Format     

    Endnote

    • Click on "Export Reference in RIS Format" and choose "open with... Endnote".

    Refworks

    • Click on "Export Reference in RIS Format". Login to Refworks, go to References => Import References


    Collections
    • Minerva Elements Records [45770]
    • Medicine and Radiology - Research Publications [2347]
    • Medical Education - Research Publications [497]
    • Florey Department of Neuroscience and Mental Health - Research Publications [1052]
    Minerva AccessDepositing Your Work (for University of Melbourne Staff and Students)NewsFAQs

    BrowseCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsThis CollectionBy Issue DateAuthorsTitlesSubjects
    My AccountLoginRegister
    StatisticsMost Popular ItemsStatistics by CountryMost Popular Authors