Clinical characteristics and presence of prolactinoma in women with hyperprolactinemia

Objectives: To clinically characterize women with hyperprolactinemia at InSer Pereira (Colombia) and to determine the prevalence of prolactinoma. Methods: Retrospective description of 45 patients with hyperprolactinemia, and contrasted pituitary magnetic resonance (MR), between January 2008 and July...

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Main Authors: López-Clavijo, Carlos Alberto, Gaviria-Maya, Juan Esteban, Henao-Flórez, Rodrigo Eduardo, Piedrahíta-Gutiérrez, Dany Leandro
Format: Article
Language:Spanish
Published: Universidad de Antioquia 2016-07-01
Series:Iatreia
Subjects:
Online Access:http://aprendeenlinea.udea.edu.co/revistas/index.php/iatreia/article/view/22386/20780559
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author López-Clavijo, Carlos Alberto
Gaviria-Maya, Juan Esteban
Henao-Flórez, Rodrigo Eduardo
Piedrahíta-Gutiérrez, Dany Leandro
author_facet López-Clavijo, Carlos Alberto
Gaviria-Maya, Juan Esteban
Henao-Flórez, Rodrigo Eduardo
Piedrahíta-Gutiérrez, Dany Leandro
author_sort López-Clavijo, Carlos Alberto
collection DOAJ
description Objectives: To clinically characterize women with hyperprolactinemia at InSer Pereira (Colombia) and to determine the prevalence of prolactinoma. Methods: Retrospective description of 45 patients with hyperprolactinemia, and contrasted pituitary magnetic resonance (MR), between January 2008 and July 2013. Clinical manifestations, etiology, serum prolactin level, and MR findings were included. Results: The most frequent clinical manifestations were: infertility, galactorrhea, oligomenorrhea. There were 26 cases of prolactinoma (57.8 %), and 12 of idiopathic hyperprolactinemia (26.6 %). Out of the 26 prolactinomas, 23 were microadenomas (average size 5.1 mm; SD ± 3.2 mm). Average serum prolactin level was 74.05 ng/mL (SD ± 13.33 ng/mL). 78 % of patients with prolactinoma had serum prolactin level under 70.0 ng/mL. No significant association was found between serum prolactin level and the presence of prolactinoma. Conclusion: Prolactinomas are the main cause of hyperprolactinemia and they are found mostly with slight rise of serum prolactin. Pituitary MRI is recommended in patients with hyperprolactinemia, regardless of their prolactin level.
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spelling doaj.art-90ec3b34800d4cc1a28078f4dee770aa2022-12-21T18:40:28ZspaUniversidad de AntioquiaIatreia0121-07932011-79652016-07-0129329230010.17533/udea.iatreia.v29n3a04Clinical characteristics and presence of prolactinoma in women with hyperprolactinemiaLópez-Clavijo, Carlos Alberto0Gaviria-Maya, Juan Esteban1Henao-Flórez, Rodrigo Eduardo2Piedrahíta-Gutiérrez, Dany Leandro3Universidad de Caldas, Manizales. Fundación Universitaria Autónoma de las Américas. InSer, Pereira. ColombiaUniversidad de Caldas, Manizales. ColombiaUniversidad de Caldas, Manizales. ColombiaUniversidad de Caldas, Manizales. ColombiaObjectives: To clinically characterize women with hyperprolactinemia at InSer Pereira (Colombia) and to determine the prevalence of prolactinoma. Methods: Retrospective description of 45 patients with hyperprolactinemia, and contrasted pituitary magnetic resonance (MR), between January 2008 and July 2013. Clinical manifestations, etiology, serum prolactin level, and MR findings were included. Results: The most frequent clinical manifestations were: infertility, galactorrhea, oligomenorrhea. There were 26 cases of prolactinoma (57.8 %), and 12 of idiopathic hyperprolactinemia (26.6 %). Out of the 26 prolactinomas, 23 were microadenomas (average size 5.1 mm; SD ± 3.2 mm). Average serum prolactin level was 74.05 ng/mL (SD ± 13.33 ng/mL). 78 % of patients with prolactinoma had serum prolactin level under 70.0 ng/mL. No significant association was found between serum prolactin level and the presence of prolactinoma. Conclusion: Prolactinomas are the main cause of hyperprolactinemia and they are found mostly with slight rise of serum prolactin. Pituitary MRI is recommended in patients with hyperprolactinemia, regardless of their prolactin level.http://aprendeenlinea.udea.edu.co/revistas/index.php/iatreia/article/view/22386/20780559AmenorrheaGalactorrheaHyperprolactinemiaInfertilityMagnetic Resonance ImagingProlactinProlactinoma
spellingShingle López-Clavijo, Carlos Alberto
Gaviria-Maya, Juan Esteban
Henao-Flórez, Rodrigo Eduardo
Piedrahíta-Gutiérrez, Dany Leandro
Clinical characteristics and presence of prolactinoma in women with hyperprolactinemia
Iatreia
Amenorrhea
Galactorrhea
Hyperprolactinemia
Infertility
Magnetic Resonance Imaging
Prolactin
Prolactinoma
title Clinical characteristics and presence of prolactinoma in women with hyperprolactinemia
title_full Clinical characteristics and presence of prolactinoma in women with hyperprolactinemia
title_fullStr Clinical characteristics and presence of prolactinoma in women with hyperprolactinemia
title_full_unstemmed Clinical characteristics and presence of prolactinoma in women with hyperprolactinemia
title_short Clinical characteristics and presence of prolactinoma in women with hyperprolactinemia
title_sort clinical characteristics and presence of prolactinoma in women with hyperprolactinemia
topic Amenorrhea
Galactorrhea
Hyperprolactinemia
Infertility
Magnetic Resonance Imaging
Prolactin
Prolactinoma
url http://aprendeenlinea.udea.edu.co/revistas/index.php/iatreia/article/view/22386/20780559
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