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Anterior pituitary agenesis

MedGen UID:
866893
Concept ID:
C4021249
Finding
Synonyms: Absent pituitary gland; Aplasia of the pituitary gland
 
HPO: HP:0010626

Definition

Absence of the anterior pituitary gland resulting from a developmental defect. [from HPO]

Term Hierarchy

Conditions with this feature

Holoprosencephaly 2
MedGen UID:
322517
Concept ID:
C1834877
Disease or Syndrome
A rare disorder characterized by the partial separation of the cerebral hemispheres. It is associated with mutations in the SIX3 gene.
Holoprosencephaly 9
MedGen UID:
324369
Concept ID:
C1835819
Disease or Syndrome
Holoprosencephaly-9 refers to a disorder characterized by a wide phenotypic spectrum of brain developmental defects, with or without overt forebrain cleavage abnormalities. It usually includes midline craniofacial anomalies involving the first branchial arch and/or orbits, pituitary hypoplasia with panhypopituitarism, and postaxial polydactyly. The disorder shows incomplete penetrance and variable expressivity (summary by Roessler et al., 2003 and Bertolacini et al., 2012). For general phenotypic information and a discussion of genetic heterogeneity of holoprosencephaly, see HPE1 (236100).
Pituitary hormone deficiency, combined or isolated, 8
MedGen UID:
1841011
Concept ID:
C5830375
Disease or Syndrome
Combined pituitary hormone deficiency-8 (CPHD8) is an autosomal dominant disorder characterized by deficiency of one or more of the pituitary hormones. Affected individuals have short stature due to growth hormone (GH; 139250) deficiency with variable deficiencies of other pituitary hormones, including TSH (see 188540), ACTH, and LH/FSH (see 118850). Posterior pituitary deficiency leading to central diabetes insipidus is rare (Bashamboo et al., 2017). Many patients are diagnosed with 'pituitary stalk interruption syndrome' (PSIS), which is characterized by a thin or absent pituitary stalk, absent or ectopic posterior pituitary, and hypoplasia of the anterior pituitary demonstrated on brain imaging, although this classic triad may be incomplete. Brauner et al. (2020) noted the complex phenotypic and genetic heterogeneity of PSIS, and concluded that it is a feature of genetic disorders or syndromes rather than a specific clinical entity. For a discussion of genetic heterogeneity of combined pituitary hormone deficiency, see CPHD1 (613038).

Professional guidelines

PubMed

Iervolino M, Lepore E, Forte G, Laganà AS, Buzzaccarini G, Unfer V
Nutrients 2021 May 15;13(5) doi: 10.3390/nu13051677. PMID: 34063339Free PMC Article
Rusgis MM, Alabbasi AY, Nelson LA
Am J Health Syst Pharm 2021 May 6;78(10):862-871. doi: 10.1093/ajhp/zxab065. PMID: 33954421Free PMC Article
Morgan T
Am Fam Physician 2007 Aug 1;76(3):405-10. PMID: 17708142

Recent clinical studies

Etiology

Canton APM, Tinano FR, Guasti L, Montenegro LR, Ryan F, Shears D, de Melo ME, Gomes LG, Piana MP, Brauner R, Espino-Aguilar R, Escribano-Muñoz A, Paganoni A, Read JE, Korbonits M, Seraphim CE, Costa SS, Krepischi AC, Jorge AAL, David A, Kaisinger LR, Ong KK, Perry JRB, Abreu AP, Kaiser UB, Argente J, Mendonca BB, Brito VN, Howard SR, Latronico AC
Lancet Diabetes Endocrinol 2023 Aug;11(8):545-554. Epub 2023 Jun 26 doi: 10.1016/S2213-8587(23)00131-6. PMID: 37385287Free PMC Article
Chen M, Miao H, Liang H, Ke X, Yang H, Gong F, Wang L, Duan L, Chen S, Pan H, Zhu H
Front Endocrinol (Lausanne) 2022;13:820001. Epub 2022 Feb 16 doi: 10.3389/fendo.2022.820001. PMID: 35250876Free PMC Article
Di Somma C, Scarano E, Savastano S, Savanelli MC, Pivonello R, Colao A
Best Pract Res Clin Endocrinol Metab 2017 Feb;31(1):25-34. Epub 2017 Mar 30 doi: 10.1016/j.beem.2017.03.005. PMID: 28477729
Hannon AM, Thompson CJ, Sherlock M
Curr Diab Rep 2017 Feb;17(2):8. doi: 10.1007/s11892-017-0838-7. PMID: 28150161
Ascoli P, Cavagnini F
Pituitary 2006;9(4):335-42. doi: 10.1007/s11102-006-0416-5. PMID: 17077946

Diagnosis

Chen M, Miao H, Liang H, Ke X, Yang H, Gong F, Wang L, Duan L, Chen S, Pan H, Zhu H
Front Endocrinol (Lausanne) 2022;13:820001. Epub 2022 Feb 16 doi: 10.3389/fendo.2022.820001. PMID: 35250876Free PMC Article
Fard MA, Wu-Chen WY, Man BL, Miller NR
Pediatr Endocrinol Rev 2010 Sep;8(1):18-24. PMID: 21037540
Ferran Kd, Paiva IA, Gilban DL, Resende M, Souza MA, Beserra IC, Guimarães MM
Arq Neuropsiquiatr 2010 Jun;68(3):400-5. doi: 10.1590/s0004-282x2010000300014. PMID: 20602044
Darzy KH, Shalet SM
Pituitary 2009;12(1):40-50. doi: 10.1007/s11102-008-0088-4. PMID: 18270844
Ascoli P, Cavagnini F
Pituitary 2006;9(4):335-42. doi: 10.1007/s11102-006-0416-5. PMID: 17077946

Therapy

Chen M, Miao H, Liang H, Ke X, Yang H, Gong F, Wang L, Duan L, Chen S, Pan H, Zhu H
Front Endocrinol (Lausanne) 2022;13:820001. Epub 2022 Feb 16 doi: 10.3389/fendo.2022.820001. PMID: 35250876Free PMC Article
Boguszewski CL
Rev Endocr Metab Disord 2021 Mar;22(1):117-124. Epub 2020 Oct 7 doi: 10.1007/s11154-020-09605-1. PMID: 33026599
Hannon AM, Thompson CJ, Sherlock M
Curr Diab Rep 2017 Feb;17(2):8. doi: 10.1007/s11892-017-0838-7. PMID: 28150161
Darzy KH, Shalet SM
Pituitary 2009;12(1):40-50. doi: 10.1007/s11102-008-0088-4. PMID: 18270844
Ascoli P, Cavagnini F
Pituitary 2006;9(4):335-42. doi: 10.1007/s11102-006-0416-5. PMID: 17077946

Prognosis

Boguszewski CL
Rev Endocr Metab Disord 2021 Mar;22(1):117-124. Epub 2020 Oct 7 doi: 10.1007/s11154-020-09605-1. PMID: 33026599
Di Iorgi N, Morana G, Allegri AE, Napoli F, Gastaldi R, Calcagno A, Patti G, Loche S, Maghnie M
Best Pract Res Clin Endocrinol Metab 2016 Dec;30(6):705-736. Epub 2016 Nov 24 doi: 10.1016/j.beem.2016.11.008. PMID: 27974186
Masel BE
Growth Horm IGF Res 2004 Jun;14 Suppl A:S108-13. doi: 10.1016/j.ghir.2004.03.024. PMID: 15135790
Kjaer I
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Haddad SF, VanGilder JC, Menezes AH
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Clinical prediction guides

Karacan Küçükali G, Keskin M, Aycan Z, Savaş-Erdeve Ş, Çetinkaya S
Eur J Med Genet 2023 Oct;66(10):104828. Epub 2023 Sep 4 doi: 10.1016/j.ejmg.2023.104828. PMID: 37673300
Feng XZ, Wang K, Li Z, Wang F, Li ZY, Tan X, Zhu WL, Zhang XY, Li SX
Gen Hosp Psychiatry 2023 Jul-Aug;83:156-163. Epub 2023 May 9 doi: 10.1016/j.genhosppsych.2023.05.008. PMID: 37201445
Boguszewski CL
Rev Endocr Metab Disord 2021 Mar;22(1):117-124. Epub 2020 Oct 7 doi: 10.1007/s11154-020-09605-1. PMID: 33026599
Acerini CL, Tasker RC
J Pediatr Endocrinol Metab 2008 Jul;21(7):611-9. doi: 10.1515/jpem.2008.21.7.611. PMID: 18780593
Schwabe AD, Lippe BM, Chang RJ, Pops MA, Yager J
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Recent systematic reviews

Xu Z, Wang Y, Duan L, Yao Y, Feng F, Wang L, Deng K, You H, Yang H, Lu L, Zhu H
Neuroendocrinology 2023;113(5):479-488. Epub 2023 Feb 6 doi: 10.1159/000529537. PMID: 36746124
Toloza FJK, Derakhshan A, Männistö T, Bliddal S, Popova PV, Carty DM, Chen L, Taylor P, Mosso L, Oken E, Suvanto E, Itoh S, Kishi R, Bassols J, Auvinen J, López-Bermejo A, Brown SJ, Boucai L, Hisada A, Yoshinaga J, Shilova E, Grineva EN, Vrijkotte TGM, Sunyer J, Jiménez-Zabala A, Riaño-Galan I, Lopez-Espinosa MJ, Prokop LJ, Singh Ospina N, Brito JP, Rodriguez-Gutierrez R, Alexander EK, Chaker L, Pearce EN, Peeters RP, Feldt-Rasmussen U, Guxens M, Chatzi L, Delles C, Roeters van Lennep JE, Pop VJM, Lu X, Walsh JP, Nelson SM, Korevaar TIM, Maraka S
Lancet Diabetes Endocrinol 2022 Apr;10(4):243-252. Epub 2022 Mar 4 doi: 10.1016/S2213-8587(22)00007-9. PMID: 35255260Free PMC Article
Consortium on Thyroid and Pregnancy—Study Group on Preterm Birth, Korevaar TIM, Derakhshan A, Taylor PN, Meima M, Chen L, Bliddal S, Carty DM, Meems M, Vaidya B, Shields B, Ghafoor F, Popova PV, Mosso L, Oken E, Suvanto E, Hisada A, Yoshinaga J, Brown SJ, Bassols J, Auvinen J, Bramer WM, López-Bermejo A, Dayan C, Boucai L, Vafeiadi M, Grineva EN, Tkachuck AS, Pop VJM, Vrijkotte TG, Guxens M, Chatzi L, Sunyer J, Jiménez-Zabala A, Riaño I, Murcia M, Lu X, Mukhtar S, Delles C, Feldt-Rasmussen U, Nelson SM, Alexander EK, Chaker L, Männistö T, Walsh JP, Pearce EN, Steegers EAP, Peeters RP
JAMA 2019 Aug 20;322(7):632-641. doi: 10.1001/jama.2019.10931. PMID: 31429897Free PMC Article
Bo QJ, Wang ZM, Li XB, Ma X, Wang CY, de Leon J
Psychiatry Res 2016 Mar 30;237:257-63. Epub 2016 Jan 16 doi: 10.1016/j.psychres.2016.01.031. PMID: 26822064
Belvederi Murri M, Prestia D, Mondelli V, Pariante C, Patti S, Olivieri B, Arzani C, Masotti M, Respino M, Antonioli M, Vassallo L, Serafini G, Perna G, Pompili M, Amore M
Psychoneuroendocrinology 2016 Jan;63:327-42. Epub 2015 Oct 21 doi: 10.1016/j.psyneuen.2015.10.014. PMID: 26547798

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