عندما يظهر التهاب الغدة النخامية بصورة حادة مع تدهور عصبي ناجم عن تضخم الغدة النخامية، يكون التعرف السريع والنهج العلاجي المنظم أمرين بالغي الأهمية.
Immunosuppressive therapy is utilized for patients with rapid onset of neurological symptoms and mass effects due to pituitary enlargement.
Glucocorticoids are the first-line immunosuppressive agents for the treatment of AHy.
Various forms of glucocorticoids (prednisone, methylprednisone, or dexamethasone) have been utilized in the treatment of hypophysitis, either as monotherapy or in combination with other immunosuppressive agents.
For glucocorticoid treatment of hypophysitis in general, after an initial high dose treatment (1mg/kg/day of prednisone or its equivalent), glucocorticoids are tapered over several weeks to months, and the duration of treatment is guided by the clinical response.
DOI: 10.1016/j.beem.2019.101371
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