A case of macroprolactinoma and elevated insulin-like growth factor-I in a young boy

Ori Eyal, Lena N. Naffaa, Deborah A. Elder

Research output: Contribution to journalArticlepeer-review

Abstract

We report a case of a 10-y-old boy who presented with persistent headache and was found to have a giant prolactinoma. Laboratory evaluation revealed markedly elevated prolactin (PRL) level, thyroid-stimulating hormone (TSH) deficiency, and elevated insulin-like growth factor-I (IGF-I). He had normal random growth hormone (GH) but non-suppressible GH during oral glucose tolerance test (OGTT). Cabergoline treatment was initiated and was well tolerated. Therapy successfully reduced PRL levels, normalized IGF-I levels, and reduced tumor size. Conclusion: Our patient presented with a GH-PRL-secreting tumor. Dopamine agonists are recommended as the treatment of choice for prolactinomas. However, there should be careful attention to GH status when treating GH-PRL-secreting tumor with dopamine agonists alone. IGF-I levels should be followed in all patients with prolactinoma, even in those with normal basal GH concentrations, because of the possibility of GH co-secretion.

Original languageEnglish
Pages (from-to)1852-1854
Number of pages3
JournalActa Paediatrica, International Journal of Paediatrics
Volume94
Issue number12
DOIs
StatePublished - 1 Feb 2005
Externally publishedYes

Keywords

  • Cabergoline
  • Growth hormone
  • IGF-I
  • Pediatric
  • Prolactinoma

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