Diagnosis and treatment of autoimmune and IgG4-related hypophysitis: clinical guidelines of the Japan Endocrine Society

  • Takagi Hiroshi
    Department of Endocrinology and Diabetes, Nagoya University Graduate School of Medicine, Nagoya 466-8550, Japan
  • Iwama Shintaro
    Department of Endocrinology and Diabetes, Nagoya University Graduate School of Medicine, Nagoya 466-8550, Japan
  • Sugimura Yoshihisa
    Department of Endocrinology and Metabolism, Fujita Health University School of Medicine, Toyoake 470-1192, Japan
  • Takahashi Yutaka
    Division of Diabetes and Endocrinology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan
  • Oki Yutaka
    Department of Family and Community Medicine, Hamamatsu University School of Medicine, Hamamatsu 431-3192, Japan
  • Akamizu Takashi
    The First Department of Medicine, Wakayama Medical University, Wakayama 641-8509, Japan
  • Arima Hiroshi
    Department of Endocrinology and Diabetes, Nagoya University Graduate School of Medicine, Nagoya 466-8550, Japan

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抄録

<p>Hypophysitis, which is often accompanied by pituitary dysfunction, is classified into several subtypes based on the cause, histology, and the location of inflammation in the pituitary gland. A definitive diagnosis requires pituitary biopsy, which is invasive, and the process is limited to specialized clinical settings. In this opinion paper, we review the literature associated with hypophysitis, and provide the guidelines of the Japan Endocrine Society for the diagnosis and treatment of autoimmune and IgG4-related hypophysitis.</p>

収録刊行物

  • Endocrine Journal

    Endocrine Journal 67 (4), 373-378, 2020

    一般社団法人 日本内分泌学会

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