علاج التهاب الغدة النخامية مع ظهور سريع للأعراض العصبية والتأثيرات الكتلية النخامية

References

• Immunosuppressive therapy is utilized for patients with rapid onset of neurological symptoms and mass effects due to pituitary enlargement.
• Other immunosuppressive agents such as azathioprine, methotrexate, and cyclosporine A can be used in patients who relapse or do not respond to glucocorticoid therapy, and these modalities have been shown to be effective in both PHy and SHy.
• Rituximab can be of potential benefit, especially among those patients with IgG4Hy or those with a biopsy-proven B-lymphocyte predominant, steroid-refractory hypophysitis.

DOI: 10.1016/j.beem.2019.101371