A member asked:

Is there a way to distinguish between infectious versus autoimmune causes of lymphocytic hypophysitis? can infectious cause result in isolated acth deficiency with low prl and tsh, normal lh, fsh, gh?

4 doctors weighed in across 2 answers
Dr. Robert Lang answered

Specializes in Internal Medicine - Endocrinology

Infection unlikely: Pituitary infection is very unlikely without an infection in a nearby part of your body such as sinusitis. An infection in another area could go to the pituitary but you would have symptoms from it. Autoimmune is most likely if none of the above. However, it is possible that an infection could cause partial loss of function but unlikely.

Answered 8/18/2013

4.9k views

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Dr. Cayce Jehaimi answered

Specializes in Pediatric Endocrinology

Rare: Please seek endocrine evaluation. Anti pituitary antibodies are not commercially avaiable (yet). Histiocytosis and TB in addition to other infiltrative diseases can affect pituitary function.

Answered 9/29/2016

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