A Case Report of Marfan Syndrome with Pituitary Tumor Which Could be Misdiagnosed as Gigantism
10.12376/j.issn.2097-0501.2024.02.013
- VernacularTitle:易误诊为巨人症的马凡综合征合并垂体瘤一例
- Author:
Yu CHEN
1
;
Jianwei LI
;
Huiwen TAN
;
Yerong YU
Author Information
1. 四川大学华西医院内分泌代谢科,成都 610041
- Keywords:
rare diseases;
Marfan syndrome;
lens dislocation;
pituitary tumors;
somatotropin;
insulin-like growth factor
- From:
JOURNAL OF RARE DISEASES
2024;3(2):237-240
- CountryChina
- Language:Chinese
-
Abstract:
Marfan syndrome(MFS)is an autosomal dominant disorder that is prone to fibrodysplasia,lens dislocation and rapid height growth,which needs to be distinguished from gigantism.This article reports a 14-year-old patient with MFS who had a typical binocular lens subluxation in both eyes,with visual impairment and rapid height growth.MRI with contrast to the pituitary suggested a pituitary microadenoma,but growth hor-mone and insulin-like growth factor 1 were in the normal range,thus excluding gigantism or acromegaly.Non-functional pituitary adenoma was considered.MFS patients need long-term follow-up and multidisciplinary col-laboration,and attention should be paid to cardiovascular system monitoring and genetic testing,which can be helpful for the diagnosis and treatment of patients and risk prevention and control.