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Case Reports
. 2002 Sep;89(3):322-5.
doi: 10.1016/S1081-1206(10)61963-1.

Panhypopituitarism in a child with common variable immunodeficiency

Jihad S Younes  1 , Elizabeth A Secord
Affiliations
Case Reports

Panhypopituitarism in a child with common variable immunodeficiency

Jihad S Younes et al. Ann Allergy Asthma Immunol. 2002 Sep.

Abstract

Background: Common variable immunodeficiency (CVID) represents a group of heterogeneous, still undifferentiated, syndromes that are all characterized by defective antibody formation. It is often associated with autoimmune disease.

Methods: An African-American girl was diagnosed with CVID at age 3 years. She was seen during an adrenal crisis precipitated by pneumonia at the age of 8 years and 10 months. The diagnosis of panhypopituitarism was established soon after.

Results: Panhypopituitarism in this patient was believed to be the result of the autoimmune process known as lymphocytic hypophysitis. This hypothesis was suggested by the results of magnetic resonance imaging.

Conclusions: Awareness of the possibility of this process in children or adults with CVID may lead to earlier diagnosis of panhypopituitarism. These patients also have failure to thrive, and earlier diagnosis may avoid a life-threatening event.

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