M. Nishiki et al., A CASE OF AUTOIMMUNE HYPOPHYSITIS ASSOCIATED WITH ASYMPTOMATIC PRIMARY BILIARY-CIRRHOSIS, Endocrine journal, 45(5), 1998, pp. 697-700
We report a 61-year old male patient with panhypopituitarism complicat
ed with asymptomatic primary biliary cirrhosis (PBC). T1-weighted magn
etic resonance imaging demonstrated high intensity of the anterior pit
uitary gland. There was no mass lesion or enlargement of the pituitary
gland or the stalk. Immunoblot analysis of the patient's sera with ra
t pituitary antigens revealed a band with a molecular size of 22 kD. A
nti-M-2 mitochondrial antibody has been consistently positive far five
years. Liver biopsy revealed portal hepatitis with periportal infiltr
ation of the inflammatory cells. This is the first case report of auto
immune hypophysitis complicated with asymptomatic PBC.