Manejo terapéutico de la hiperprolactinemia. Therapeutic management of hyperprolactinemia. Visits. J M. Cabezas Agrícolaa, J. Cabezas-Cerratoa. Num. Pages Manejo clínico de las hiperprolactinemias. Clinical management of hyperprolactinemia. Visits. Download PDF. La frecuencia de hiperprolactinemia en esta entidad es del 13 al 59% y los . Artículo. B. Farzati,G. Mazziotti,G. Cuomo,M. Ressa,F. Sorvillo,G. Amato.

Author: Tygom Jushura
Country: Djibouti
Language: English (Spanish)
Genre: Automotive
Published (Last): 21 April 2005
Pages: 409
PDF File Size: 12.37 Mb
ePub File Size: 5.45 Mb
ISBN: 997-1-45072-341-6
Downloads: 84362
Price: Free* [*Free Regsitration Required]
Uploader: Shaktikora

Best way is to give it is as continuous therapy and prolactin levels reduce in about a week; ovulation and menstruation resumes in weeks. A comparison of cabergoline and bromocriptine in the treatment of hyperprolactinemic amenorrhea. N Engl J Med,pp. The prevalence of hyperprolactinemia ranges from 0. Predictive value of serum prolactine levels measured immediately after transsphenoidal surgery.

Some of the common causes are listed in Figure 1. Fertil Steril, 35pp.

Textbook of Rheumatology, 5. A case of progressive systemic sclerosis PSS with silent thyroiditis and anti-bovine thyrotropin antibodies. Osteoporosis methodology group and the osteoporosis research advisory group.

The ratio between the size of the lesion and the degree of hyperprolactinemia usually permits to distinguish prolactinomas from pseudoprolactinomas; this differential diagnosis is essential, since therapy is entirely different medical in the former case, surgical in the latter.

Frequently seen on echocardiogram, LVH is attributable more to hypertension than to catecholamine effects. Mechanisms contributing to hyperaldosteronism-mediated hypertension include plasma volume expansion from sodium and fluid retention, and vasoconstriction from potassium depletion. Vaginal absorption is nearly complete and avoidance of the liver first pass metabolism allows lower therapeutic dosing.

Selective stimulation of collagen synthesis in the presence of co-stimulatory insulin signalling by connective tissue growth factor in scleroderma fibroblasts. This negatively modulates the secretion of pituitary hormones responsible for gonadal function. Features of Amiodarone-Induced Thyroid Dysfunction. Thus, primary hypothyroidism may be associated with mild hyperprolactinemia that reverts upon the normalization of thyroid function with levothyroxine.


Hyperthyroid patients often present with signs and symptoms related to the cardiovascular system jiperprolactinemia palpitations, sinus tachycardia, atrial hiperprolactinemiq, systolic hypertension, widened pulse pressure, exercise intolerance, and exertional dyspnea.

Reversal of heart failure and correction of cardiomyopathy have been seen in select cases where correction of calcium deficiency was necessary for clinical and hemodynamic improvement. Read this article in English. In our view, it is advisable to monitor the course of BMD and to consider the use of specific treatment if no recovery occurs when gonadal function is restored. Patients with subclinical hyperthyroidism may also have decreased exercise tolerance.

Physiological hyperprolactinemia is artciulo mild or moderate. Once physiological causes such as pregnancy, systemic disorders such as primary hypothyroidism and the use of drugs with dopamine antagonistic actions such as metochlopramide have been ruled out, the most common cause of hyperprolactinemia is a PRL-secreting pituitary adenoma or prolactinoma. Treatment of pheochromocytoma consists of surgical resection, with preoperative medical optimization to obtain adequate blood pressure control and volume expansion.

Some show prompt shrinkage with low doses while others may require prolonged treatment with hiperpeolactinemia dosage. It has been reported that the use of bromocriptine did not increase the risk of fetal malformations in more than pregnancies.

The findings in all these conditions are superimposable on those of microprolactinoma.

Pitiriasis rotunda e hiperprolactinemia | Actas Dermo-Sifiliográficas (English Edition)

J Clin Endocrinol Articullo. Follow-up is mandatory with yearly estimation of prolactin levels, MRI, and visual fields. The severity of ventricular arrhythmias correlates with increases in LV mass. Pregnancy, lactation, nipple stimulation, intercourse, sleep, exercise, stress.


Most pituitary tumors, including prolactinomas, are sporadic in nature. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact. J Clin Endocrinol Metab, 94pp. Prospective evaluation of thyroid function in patients with systemic sclerosis scleroderma.

Pathologic observations in systemic sclerosis scleroderma. It has a short half-life and so it requires twice daily administration to maintain optimal suppression of prolactin levels.

[Current diagnosis and treatment of hyperprolactinemia].

Hyperprolactinemia is considered to be idiopathic when its secondary causes have been ruled out and pituitary MRI is normal. Most cases of true hyperprolactinemia are associated with amenorrhea or hormone deprivation in premenopausal women and can be managed by dopamine agonist or hormone replacement therapy respectively.

articuli The efficacy of radiotherapy should always be weighed against the complications derived from the treatment. Long-term follow-up of prolactinomas: Initially it was thought that patients would require lifelong dopamine agonist therapy but the current use has evolved into a dynamic process depending on the patient’s requirement. Hyperprolactinemia can be physiological or pathological.

Rheumatology Oxford44pp. Abha Majumdar and Nisha Sharma Mangal. The authors state that they have no conflicts of interest.

SRJ is a prestige metric based on the idea that not all citations are the same. Over time, the patient may have diminished energy, reduced muscle mass, and increased risk of osteopenia.