Turkish Neurosurgery 2016 , Vol 26 , Num 1
Gynecomastia and Hyperprolactinemia Secondary to Advanced Allergic Fungal Rhinosinusitis in a Pediatric Patient
Joshua Y. MENENDEZ1, Bradford A. WOODWORTH2, James M. JOHNSTON Jr.1
1University of Alabama at Birmingham School of Medicine, Department of Neurological Surgery, Birmingham, AL, USA
2University of Alabama at Birmingham School of Medicine, Department of Surgery, Division of Otolaryngology, Birmingham, AL, USA
DOI : 10.5137/1019-5149.JTN.12143-14.3 Hyperprolactinemia is a rare entity in the pediatric population. The most common causes of hyperprolactinemia include drug use, hypothyroidism and renal insufficiency, though rarely a pituitary or sellar mass is discovered. We present an immunocompetent pediatric patient who presented with gynecomastia and was found to have hyperprolactinemia. Imaging showed a sphenoid mass and referral was made for a pituitary tumor. The mass was not a pituitary tumor and he was formally diagnosed with allergic fungal sinusitis and treated surgically. There are no previous reports of allergic fungal rhinosinusitis causing pituitary dysfunction in a pediatric patient. We also present a brief review and discussion of the treatment of allergic fungal sinusitis. Keywords : Pediatric, Pituitary, Hyperprolactinemia, Gynecomastia, Rhinosinusitis, Fungus
Corresponding author : Joshua Y. Menendez, jmenendez@uabmc.edu