Postpartum Recurrent Mastitis Despite Resolution of Prior Prolactinoma
We present a 35-year-old woman with history of a prolactinoma who presented 11 weeks postpartum with recurrent mastitis. Per the patient, in the past she took cabergoline but stopped about 5 years previously. Despite attempts to wean, postpartum, she continued to express an excessive amount of breas...
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| Format: | Article |
| Language: | English |
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American College of Physicians
2022-07-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2022.0036 |
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| _version_ | 1850147981610713088 |
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| author | Pamela L. Alebna Salman Samar Mindy Griffith |
| author_facet | Pamela L. Alebna Salman Samar Mindy Griffith |
| author_sort | Pamela L. Alebna |
| collection | DOAJ |
| description | We present a 35-year-old woman with history of a prolactinoma who presented 11 weeks postpartum with recurrent mastitis. Per the patient, in the past she took cabergoline but stopped about 5 years previously. Despite attempts to wean, postpartum, she continued to express an excessive amount of breast milk. Magnetic resolution imaging revealed a slightly heterogeneous appearance of the pituitary gland, and she was started on dopaminergic agents. This case demonstrates that significant lactotroph hyperplasia can occur after breastfeeding ends despite the resolution of a prior prolactin-secreting microadenoma. |
| format | Article |
| id | doaj-art-cf7d760891064c3a9bf03ce4cff5738a |
| institution | OA Journals |
| issn | 2767-7664 |
| language | English |
| publishDate | 2022-07-01 |
| publisher | American College of Physicians |
| record_format | Article |
| series | Annals of Internal Medicine: Clinical Cases |
| spelling | doaj-art-cf7d760891064c3a9bf03ce4cff5738a2025-08-20T02:27:23ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642022-07-011510.7326/aimcc.2022.0036Postpartum Recurrent Mastitis Despite Resolution of Prior ProlactinomaPamela L. Alebna0Salman Samar1Mindy Griffith21Department of Internal Medicine, Rutgers/Robert Wood Johnson Barnabas Health, Jersey City Medical Center, Jersey City, New Jersey1Department of Internal Medicine, Rutgers/Robert Wood Johnson Barnabas Health, Jersey City Medical Center, Jersey City, New Jersey1Department of Internal Medicine, Rutgers/Robert Wood Johnson Barnabas Health, Jersey City Medical Center, Jersey City, New JerseyWe present a 35-year-old woman with history of a prolactinoma who presented 11 weeks postpartum with recurrent mastitis. Per the patient, in the past she took cabergoline but stopped about 5 years previously. Despite attempts to wean, postpartum, she continued to express an excessive amount of breast milk. Magnetic resolution imaging revealed a slightly heterogeneous appearance of the pituitary gland, and she was started on dopaminergic agents. This case demonstrates that significant lactotroph hyperplasia can occur after breastfeeding ends despite the resolution of a prior prolactin-secreting microadenoma.https://www.acpjournals.org/doi/10.7326/aimcc.2022.0036 |
| spellingShingle | Pamela L. Alebna Salman Samar Mindy Griffith Postpartum Recurrent Mastitis Despite Resolution of Prior Prolactinoma Annals of Internal Medicine: Clinical Cases |
| title | Postpartum Recurrent Mastitis Despite Resolution of Prior Prolactinoma |
| title_full | Postpartum Recurrent Mastitis Despite Resolution of Prior Prolactinoma |
| title_fullStr | Postpartum Recurrent Mastitis Despite Resolution of Prior Prolactinoma |
| title_full_unstemmed | Postpartum Recurrent Mastitis Despite Resolution of Prior Prolactinoma |
| title_short | Postpartum Recurrent Mastitis Despite Resolution of Prior Prolactinoma |
| title_sort | postpartum recurrent mastitis despite resolution of prior prolactinoma |
| url | https://www.acpjournals.org/doi/10.7326/aimcc.2022.0036 |
| work_keys_str_mv | AT pamelalalebna postpartumrecurrentmastitisdespiteresolutionofpriorprolactinoma AT salmansamar postpartumrecurrentmastitisdespiteresolutionofpriorprolactinoma AT mindygriffith postpartumrecurrentmastitisdespiteresolutionofpriorprolactinoma |