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Hyperprolactinemia

Hyperprolactinemia: Excerpt from A Pocket Manual of Differential Diagnosis


Addison's disease
Adrenal carcinoma
Adrenal hyperplasia
Antiprolactin autoantibodies
Chronic renal failure
Cirrhosis
Diseases affecting the hypothalamus and/or pituitary stalk
   Aneurysms
   Basilar meningitis
   Empty sella syndrome
   Encephalitis/postencephalitis
   Giant cell arteritis
   Histiocytosis X
   Hydrocephalus
   Hypothalamic tumors, primary or metastatic (including craniopharyngiomas, dysgerminomas, gliomas, hamartomas, lymphomas, meningiomas, and pinealomas)
   Neuraxis irradiation
   Pituitary stalk section (including pituitary tumors compressing the stalk)
   Pseudotumor cerebri
   Postpneumoencephalogram
   Rathke's pouch cyst
   Sarcoidosis
   Trauma
   Tuberculosis
   Other destructive lesions of the hypothalamus

Drugs
   Alpha-methyldopa
   Alpha-methyl-para tyrosine
   Amphetamines
   Androgens
   Antidepressants
       Dibenzoxazepine antidepressants (e.g., amoxapine)
       Tricyclic antidepressants
   Antihistaminics (H1 and H2)
       Cimetidine
       Cyproheptadine
       Meclizine
       Tripelennamine
   Benzodiazepines
   Calcium channel blockers
   Cocaine
   Cyproterone acetate
   Domperidone
   Estrogens
   Isoniazid
   Medroxalol
   Monoamine oxidase inhibitors
   Meprobamate
   Neuroleptics
       Azophenothiazines
       Benzisoxazoles
       Butyrophenones
       Dibenzooxazepines
       Dibenzothiazepines
       Dihydroindolones
       Phenothiazines
       Thioxanthenes
   Opiates
   Reserpine
   Substituted benzamides
       Brompride
       Clebopride
       Cisapride (rare)
       Metoclopramide
       Sulpiride
   Tetrabenazine
   Thyrotropin-releasing hormone
Hypoglycemia
Idiopathic hyperprolactinemia
Macroprolactinemia
Neural stimulation
   Due to disorders of the chest wall and thorax
       Atopic dermatitis
       Bronchiectasis/chronic bronchitis
       Bronchogenic tumors
       Burns
       Chest wall lesions
       Chest wall scars
       Chest wall trauma
       Herpes zoster
       Mastectomy/mammoplasty
       Neoplasms of the chest wall
       Thoracotomy/thoracoplasty
       Tight garments
   Due to nipple stimulation
       Chronic inflammatory disease
       Mechanical stimulation of the nipples
   Due to psychogenic factors
       Pseudocyesis
       Posttrauma
       Stress
   Due to spinal cord disease
       Cervical ependymoma
       Cervical spinal cord lesions
       Extrinsic tumors
       Syringomyelia
       Tabes dorsalis
   Major surgery and anesthesia, especially oophorectomy
   Seizures
Physiologic causes of hyperprolactinemia
   Exercise
   Intercourse
   Newborn
   Postpartum
       Nonnursing (4 weeks)
       Suckling
   Pregnancy
   Sleep
Polycystic ovary syndrome
Primary hypothyroidism
Pseudohypoparathyroidism
Refeeding after starvation
Tumors secreting prolactin or placental lactogen
   Acromegaly
   Bronchogenic carcinoma
   Chorioepithelioma
   Hydatidiform mole
   Hypernephroma
   Prolactinoma
   Uterine leiomyoma

References


1. Katznelson L, Klibanski A: Prolactin and Its Disorders, pp. 141–143. See Bibliography, 2.
2. Reichlin S: Neuroendocrinology, p. 226. See Bibliography, 3.

Book Source Details

  • Book Title: A Pocket Manual of Differential Diagnosis
  • Author(s): Stephen N. Adler, Dianne B. Gasbarra
  • Year of Publication: 1999
  • Copyright Details: A Pocket Manual of Differential Diagnosis, Copyright © 1999 Lippincott Williams & Wilkins.

More About Hyperprolactinemia

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  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
 

Copyright notice for book excerpts: Copyright © 2008 Lippincott Williams & Wilkins. All rights reserved.




More About This Book:
Title: A Pocket Manual of Differential Diagnosis
Authors: Stephen N. Adler, Dianne B. Gasbarra
Publisher: Lippincott Williams & Wilkins
Copyright: 1999
ISBN: 0-78171-943-7

 » Next page: Galactorrhea/Nipple Discharge (A Pocket Manual of Differential Diagnosis)

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