Search for other papers by Maria Stelmachowska-Banaś in
Google Scholar
PubMed
Search for other papers by Izabella Czajka-Oraniec in
Google Scholar
PubMed
with anti-PD-1 antibodies and hypophysitis (IH) commonly related to anti-CTLA-4 therapy, are the most frequent endocrine toxicities. ICI-induced insulin-deficient diabetes mellitus (DM) and primary adrenal insufficiency (PAI), though rare, can be life
Search for other papers by Bliss Anderson in
Google Scholar
PubMed
Search for other papers by Daniel L Morganstein in
Google Scholar
PubMed
lifelong hormonal replacement. Untreated endocrinopathy can be life threatening. Whilst both CTLA-4 and PD-1 inhibitors are associated most commonly with thyroid dysfunction, hypophysitis resulting in adrenal insufficiency, and insulin-dependent diabetes
Search for other papers by Brijesh Krishnappa in
Google Scholar
PubMed
Search for other papers by Ravikumar Shah in
Google Scholar
PubMed
Search for other papers by Saba Samad Memon in
Google Scholar
PubMed
Search for other papers by Chakra Diwaker in
Google Scholar
PubMed
Search for other papers by Anurag R Lila in
Google Scholar
PubMed
Search for other papers by Virendra A Patil in
Google Scholar
PubMed
Search for other papers by Nalini S Shah in
Google Scholar
PubMed
Search for other papers by Tushar R Bandgar in
Google Scholar
PubMed
Introduction Hypophysitis is the general term used to describe any form of sellar and/or suprasellar inflammation that leads to structural changes in the hypothalamic–pituitary axis and varying degrees of anterior and/or posterior pituitary
Search for other papers by Ruth Percik in
Google Scholar
PubMed
Search for other papers by Sherwin Criseno in
Google Scholar
PubMed
Search for other papers by Safwaan Adam in
Google Scholar
PubMed
Search for other papers by Kate Young in
Google Scholar
PubMed
Royal Marsden Hospital, London, UK
Search for other papers by Daniel L Morganstein in
Google Scholar
PubMed
ADL Severe symptoms; limiting self-care ADL; hospitalization indicated Life-threatening consequences; urgent intervention indicated Death Pituitary Hypophysitis Asymptomatic or mild symptoms; clinical or diagnostic observations only
Search for other papers by C E Higham in
Google Scholar
PubMed
The University of Liverpool, Brownlow Hill, Liverpool, UK
Search for other papers by A Olsson-Brown in
Google Scholar
PubMed
Search for other papers by P Carroll in
Google Scholar
PubMed
Search for other papers by T Cooksley in
Google Scholar
PubMed
Search for other papers by J Larkin in
Google Scholar
PubMed
Search for other papers by P Lorigan in
Google Scholar
PubMed
Search for other papers by D Morganstein in
Google Scholar
PubMed
Search for other papers by P J Trainer in
Google Scholar
PubMed
Search for other papers by the Society for Endocrinology Clinical Committee in
Google Scholar
PubMed
by immune-mediated adverse effects particularly with combination treatment ( 3 , 4 , 5 , 6 ). Immune-mediated endocrinopathies as a consequence of treatment with checkpoint inhibitors include hypophysitis, adrenalitis, thyroiditis and diabetes
Search for other papers by Kunal Thakkar in
Google Scholar
PubMed
Search for other papers by Swati Ramteke-Jadhav in
Google Scholar
PubMed
Search for other papers by Rajeev Kasaliwal in
Google Scholar
PubMed
Search for other papers by Saba Samad Memon in
Google Scholar
PubMed
Search for other papers by Virendra Patil in
Google Scholar
PubMed
Search for other papers by Puja Thadani in
Google Scholar
PubMed
Search for other papers by Nilesh Lomte in
Google Scholar
PubMed
Search for other papers by Shilpa Sankhe in
Google Scholar
PubMed
Search for other papers by Atul Goel in
Google Scholar
PubMed
Search for other papers by Sridhar Epari in
Google Scholar
PubMed
Search for other papers by Naina Goel in
Google Scholar
PubMed
Search for other papers by Anurag Lila in
Google Scholar
PubMed
Search for other papers by Nalini S Shah in
Google Scholar
PubMed
Search for other papers by Tushar Bandgar in
Google Scholar
PubMed
–16%), rathke’s cleft cyst (RCC, 28–33%), lymphocytic hypophysitis (LyH, 5%), and meningioma (3–8%) ( 3 , 4 ). These lesions often have characteristic radiological appearance suggesting pre-operative diagnosis. However, besides these common lesions, certain
Department of Oncology, Comprehensive Cancer Centre, Helsinki University Hospital, Helsinki, Finland
Search for other papers by Hanna Karhapää in
Google Scholar
PubMed
Department of Oncology, Comprehensive Cancer Centre, Helsinki University Hospital, Helsinki, Finland
Search for other papers by Siru Mäkelä in
Google Scholar
PubMed
Department of Radiology, HUS Medical Imaging Centre, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
Search for other papers by Hanna Laurén in
Google Scholar
PubMed
Department of Radiology, HUS Medical Imaging Centre, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
Search for other papers by Marjut Jaakkola in
Google Scholar
PubMed
Endocrinology, Abdominal Centre, University of Helsinki and HUS, Helsinki, Finland
Search for other papers by Camilla Schalin-Jäntti in
Google Scholar
PubMed
Department of Oncology, Comprehensive Cancer Centre, Helsinki University Hospital, Helsinki, Finland
Search for other papers by Micaela Hernberg in
Google Scholar
PubMed
laboratory findings to life-threatening conditions requiring immediate diagnosis and treatment ( 6 , 7 ). Endocrine AEs are the third most common AEs of ICIs including thyroiditis, hypophysitis, and autoimmune diabetes ( 8 ). The frequency of endocrine AEs
Division of Endocrinology, Mid and South Essex NHS Trust, Broomfield, UK
Search for other papers by Saroj Kumar Sahoo in
Google Scholar
PubMed
Search for other papers by Jayakrishnan C Menon in
Google Scholar
PubMed
Search for other papers by Nidhi Tripathy in
Google Scholar
PubMed
Search for other papers by Monalisa Nayak in
Google Scholar
PubMed
Search for other papers by Subhash Yadav in
Google Scholar
PubMed
stimulation test, such as insulin tolerance test. The other mechanisms behind a delayed onset of AI could be secondary to reactivation of latent viral infection, post-infectious hypophysitis ( 30 , 31 ), vaccine medicated ( 32 ), or an autoimmunity ( 33 , 34
Search for other papers by Amit Kumar in
Google Scholar
PubMed
Search for other papers by Maria Ghosh in
Google Scholar
PubMed
Search for other papers by Jubbin Jagan Jacob in
Google Scholar
PubMed
included undiagnosed hypopituitarism 5/20 (25 or 3.5% among all patient with EuVHNa) which included three patients with post-partum pituitary necrosis (Sheehan’s syndrome) and two patients with possible lymphocytic hypophysitis. We were surprised to note
Search for other papers by Aida Javanbakht in
Google Scholar
PubMed
Search for other papers by Massimo D’Apuzzo in
Google Scholar
PubMed
Search for other papers by Behnam Badie in
Google Scholar
PubMed
Search for other papers by Behrouz Salehian in
Google Scholar
PubMed
Endocrinological Investigation 2005 28 454 – 458 . ( https://doi.org/10.1007/BF03347227 ) 16075930 10.1007/BF03347227 57 Huang YY Lin SF Dunn P Wai YY Hsueh C Tsai JS . Primary pituitary lymphoma presenting as hypophysitis . Endocrine Journal 2005 52