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Anterior hypopituitarism

MedGen UID:
871333
Concept ID:
C4025821
Disease or Syndrome
HPO: HP:0000830

Definition

A condition of reduced function of the anterior pituitary gland characterized by decreased secretion of one or more of the pituitary hormones growth hormone, thyroid-stimulating hormone, adrenocorticotropic hormone, prolactin, luteinizing hormone, and follicle-stimulating hormone. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVAnterior hypopituitarism

Conditions with this feature

Hamartoma of hypothalamus
MedGen UID:
137970
Concept ID:
C0342418
Finding
Pallister-Hall-like syndrome (PHLS) is a pleiotropic autosomal recessive disorder characterized by phenotypic variability. Patients exhibit postaxial polydactyly as well as hypothalamic hamartoma, cardiac and skeletal anomalies, and craniofacial dysmorphisms. Hirschsprung disease has also been observed (Rubino et al., 2018; Le et al., 2020). Pallister-Hall syndrome (146510) is an autosomal dominant disorder with features overlapping those of PHLS, caused by mutation in the GLI3 gene (165240).
Solitary median maxillary central incisor syndrome
MedGen UID:
326686
Concept ID:
C1840235
Congenital Abnormality
A single maxillary central incisor positioned in the midline with morphological symmetry of the crown and bordered by lateral incisors.
Microphthalmia with brain and digit anomalies
MedGen UID:
355268
Concept ID:
C1864689
Disease or Syndrome
This syndrome has characteristics of anophthalmia or microphthalmia, retinal dystrophy, and/or myopia, associated in some cases with cerebral anomalies. It has been described in two families. Polydactyly may also be present. Linkage analysis allowed identification of mutations in the BMP4 gene, which has already been shown to play a role in eye development.
RHYNS syndrome
MedGen UID:
356371
Concept ID:
C1865794
Disease or Syndrome
RHYNS syndrome is characterized by gaze palsy, retinitis pigmentosa, sensorineural hearing loss, hypopituitarism, nephronophthisis, and mild skeletal dysplasia (Di Rocco et al., 1997).
Non-acquired combined pituitary hormone deficiency with spine abnormalities
MedGen UID:
483740
Concept ID:
C3489787
Disease or Syndrome
Combined pituitary hormone deficiency-3 (CPHD3) is an autosomal recessive disorder characterized by hypopituitarism with structural anterior pituitary defects and cervical abnormalities with or without restricted neck rotation. Some patients have sensorineural hearing loss (summary by Rajab et al., 2008). For a discussion of phenotypic and genetic heterogeneity of combined pituitary hormone deficiency, see CPHD1 (613038).

Professional guidelines

PubMed

Hong S, Atkinson JL, Erickson D, Kizilbash SH, Little JT, Routman DM, Van Gompel JJ
Neurosurg Focus 2023 Aug;55(2):E13. doi: 10.3171/2023.5.FOCUS23185. PMID: 37527679
Gatto F, Perez-Rivas LG, Olarescu NC, Khandeva P, Chachlaki K, Trivellin G, Gahete MD, Cuny T; on behalf of the ENEA Young Researchers Committee (EYRC)
Neuroendocrinology 2020;110(9-10):728-739. Epub 2020 Mar 4 doi: 10.1159/000506905. PMID: 32126547
George LD, Nicolau N, Scanlon MF, Davies JS
Clin Endocrinol (Oxf) 2000 Nov;53(5):595-9. doi: 10.1046/j.1365-2265.2000.01137.x. PMID: 11106920

Recent clinical studies

Etiology

Prencipe N, Marinelli L, Varaldo E, Cuboni D, Berton AM, Bioletto F, Bona C, Gasco V, Grottoli S
Front Endocrinol (Lausanne) 2023;14:1100007. Epub 2023 Mar 8 doi: 10.3389/fendo.2023.1100007. PMID: 36967769Free PMC Article
Bhargava R, Hussein Z, Dorward NL, Grieve JP, Jaunmuktane Z, Marcus HJ, Proctor I, Baldeweg SE
Acta Neurochir (Wien) 2022 Aug;164(8):2095-2103. Epub 2022 May 7 doi: 10.1007/s00701-022-05231-9. PMID: 35532784Free PMC Article
Agha A, Thompson CJ
Clin Endocrinol (Oxf) 2006 May;64(5):481-8. doi: 10.1111/j.1365-2265.2006.02517.x. PMID: 16649964
Urban RJ, Harris P, Masel B
Brain Inj 2005 May;19(5):349-58. doi: 10.1080/02699050400004807. PMID: 16094782
De Marinis L, Bonadonna S, Bianchi A, Maira G, Giustina A
J Clin Endocrinol Metab 2005 Sep;90(9):5471-7. Epub 2005 Jun 21 doi: 10.1210/jc.2005-0288. PMID: 15972577

Diagnosis

Liu J, Hufnagel RB
Ophthalmic Genet 2023 Dec;44(6):530-538. Epub 2023 Nov 20 doi: 10.1080/13816810.2023.2254830. PMID: 37732399Free PMC Article
Prencipe N, Marinelli L, Varaldo E, Cuboni D, Berton AM, Bioletto F, Bona C, Gasco V, Grottoli S
Front Endocrinol (Lausanne) 2023;14:1100007. Epub 2023 Mar 8 doi: 10.3389/fendo.2023.1100007. PMID: 36967769Free PMC Article
Gatto F, Perez-Rivas LG, Olarescu NC, Khandeva P, Chachlaki K, Trivellin G, Gahete MD, Cuny T; on behalf of the ENEA Young Researchers Committee (EYRC)
Neuroendocrinology 2020;110(9-10):728-739. Epub 2020 Mar 4 doi: 10.1159/000506905. PMID: 32126547
Shikuma J, Kan K, Ito R, Hara K, Sakai H, Miwa T, Kanazawa A, Odawara M
Pituitary 2017 Apr;20(2):282-291. doi: 10.1007/s11102-016-0773-7. PMID: 27812776
Fernandez-Rodriguez E, Bernabeu I, Castro AI, Casanueva FF
Endocrinol Metab Clin North Am 2015 Mar;44(1):151-9. Epub 2014 Nov 4 doi: 10.1016/j.ecl.2014.10.012. PMID: 25732651

Therapy

Bhargava R, Hussein Z, Dorward NL, Grieve JP, Jaunmuktane Z, Marcus HJ, Proctor I, Baldeweg SE
Acta Neurochir (Wien) 2022 Aug;164(8):2095-2103. Epub 2022 May 7 doi: 10.1007/s00701-022-05231-9. PMID: 35532784Free PMC Article
Shikuma J, Kan K, Ito R, Hara K, Sakai H, Miwa T, Kanazawa A, Odawara M
Pituitary 2017 Apr;20(2):282-291. doi: 10.1007/s11102-016-0773-7. PMID: 27812776
Fernandez-Rodriguez E, Bernabeu I, Castro AI, Casanueva FF
Endocrinol Metab Clin North Am 2015 Mar;44(1):151-9. Epub 2014 Nov 4 doi: 10.1016/j.ecl.2014.10.012. PMID: 25732651
Tritos NA, Biller BM
Pituitary 2015 Apr;18(2):263-8. doi: 10.1007/s11102-014-0615-4. PMID: 25359445
Agha A, Thompson CJ
Clin Endocrinol (Oxf) 2006 May;64(5):481-8. doi: 10.1111/j.1365-2265.2006.02517.x. PMID: 16649964

Prognosis

Liu J, Hufnagel RB
Ophthalmic Genet 2023 Dec;44(6):530-538. Epub 2023 Nov 20 doi: 10.1080/13816810.2023.2254830. PMID: 37732399Free PMC Article
Ntali G, Tsagarakis S
Pituitary 2019 Jun;22(3):283-295. doi: 10.1007/s11102-019-00944-0. PMID: 30746590
Anthony J, Esper GJ, Ioachimescu A
Pituitary 2016 Feb;19(1):19-29. doi: 10.1007/s11102-015-0678-x. PMID: 26267304
Dusick JR, Wang C, Cohan P, Swerdloff R, Kelly DF
Pituitary 2012 Mar;15(1):2-9. doi: 10.1007/s11102-008-0130-6. PMID: 18481181Free PMC Article
De Marinis L, Bonadonna S, Bianchi A, Maira G, Giustina A
J Clin Endocrinol Metab 2005 Sep;90(9):5471-7. Epub 2005 Jun 21 doi: 10.1210/jc.2005-0288. PMID: 15972577

Clinical prediction guides

Daughters K, Manstead ASR, Rees DA
Endocrine 2017 Jul;57(1):166-174. Epub 2017 Jun 8 doi: 10.1007/s12020-017-1332-3. PMID: 28597171Free PMC Article
Shikuma J, Kan K, Ito R, Hara K, Sakai H, Miwa T, Kanazawa A, Odawara M
Pituitary 2017 Apr;20(2):282-291. doi: 10.1007/s11102-016-0773-7. PMID: 27812776
Anthony J, Esper GJ, Ioachimescu A
Pituitary 2016 Feb;19(1):19-29. doi: 10.1007/s11102-015-0678-x. PMID: 26267304
Imber BS, Lee HS, Kunwar S, Blevins LS, Aghi MK
Pituitary 2015 Oct;18(5):630-41. doi: 10.1007/s11102-014-0622-5. PMID: 25534888
De Marinis L, Bonadonna S, Bianchi A, Maira G, Giustina A
J Clin Endocrinol Metab 2005 Sep;90(9):5471-7. Epub 2005 Jun 21 doi: 10.1210/jc.2005-0288. PMID: 15972577

Recent systematic reviews

Kohli G, Gabriel PJ, Brady M, Fang CH, Eloy JA, Liu JK
Acta Neurochir (Wien) 2024 Mar 2;166(1):120. doi: 10.1007/s00701-024-05980-9. PMID: 38430312
Tarabay A, Cossu G, Berhouma M, Levivier M, Daniel RT, Messerer M
J Neurooncol 2016 Dec;130(3):383-395. Epub 2016 Aug 31 doi: 10.1007/s11060-016-2249-z. PMID: 27581598
He W, Chen F, Dalm B, Kirby PA, Greenlee JD
Pituitary 2015 Feb;18(1):159-68. doi: 10.1007/s11102-014-0552-2. PMID: 24445565

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