Lymphocytic and granulomatous hypophysitis are rare causes of anterior
pituitary dysfunction, diabetes insipidus and hyperprolactinemia, The
clinical, radiographic, and laboratory features of hypophysitis in tw
o adolescent girls are presented along with a review of the medical li
terature. These subjects represent the youngest cases of autoimmune (l
ymphocytic) and granulomatous hypophysitis reported to date. While hyp
ophysitis remains an unusual cause of pituitary dysfunction, it may al
so occur in early adolescence.