Polymyalgia Rheumatica

Abstract  A case of apoplectic lymphocytic hypophysitis complicated by polymyalgia rheumatica (PMA) is described. A 72-year-old man
was admitted to our hospital due to severe headache. Two months prior to admission, the patients had exhibited recent-onset
stiffness and myalgia of shoulder and pelvic girdle that was compatible with PMR. Magnetic resonance imaging revealed a mass
lesion in the pituitary fossa with focal hemorrhage. Endocrinologic studies demonstrated hypopituitarism. The headache and
myalgia were improving with corticosteroid treatment; however, a trans-sphenoidal surgery was performed due to visual field
loss. A white-colored mass was resected, and histologic examination showed diffuse infiltration of lymphocytes and plasma
cells consistent with lymphocytic …MedWorm Message: Register for MedMatcha, MedWorm’s medical advertising network, and receive $5 free advertising.

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