Authors: Toshiro Takami
Since seven years ago, internal medicine was inevitable with unknown fever and abdominal pain. In 1990 (three years ago), prolactinoma was suspected as prolactinoma in blood and suspected prolactinoma, contrast MRI of Turkish saddle was enforced at A University Hospital Although it was not discovered despite the fact that microadenoma was definitely present when it was minutely read, it was a patient who had been follow-up as it was. The case has been introduced by A University Hospital internal medicine as to whether it can be treated with psychiatric department of A University Hospital psychiatric approach. At that time, the medicine was drinking with water, but IVH (intravenous hyperalimentation) was done due to the inability to eat food. In other words, I was not sent to the psychiatry without understanding why I could not eat food internally. As I interviewed my medical history, I became a little depressed due to the state of such a body, but I found that the personality is bright and extroverted. Prolactinoma disrupted the hormonal balance, which resulted in imbalance of the autonomic nerves and was in the present physical condition. Menopausal disorder is very similar to what is extremely severe. There are many ladies who have autonomic imbalance due to disorder of hormonal balance even in menopause, but it was presumed to be the most severe. ------ prolactine is 80 ng and about 6 times the normal upper limit. And there is milk filtration and menstrual irregularity. The pituitary microadenoma should be hyperdensity with T1 emphasis, hypodensity with T2 emphasis, microadenoma exists when MRI (three years ago) is finely reflected. This seemed to be producing prolactine. In addition, it is thought that the unknown fever and abdominal pain of this case can be explained by the following figures.
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[v1] 2018-10-15 15:42:34
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