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Delayed-Type Hypersensitivity (DTH), or Type IV hypersensitivity, is a cell-mediated immune response. It occurs when T cells, rather than antibodies, mediate a reaction to specific antigens. It is characterized by a delayed onset (1-2 days) and involves the recruitment of macrophages to the inflammation site.The initiation of a DTH response begins with the sensitization of T cells. During this phase, which lasts at least 1-2 weeks, antigen-specific T cells are activated, clonally expanded, and...
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Related Experiment Video

Updated: Apr 12, 2026

Preparation of Mouse Pituitary Immunogen for the Induction of Experimental Autoimmune Hypophysitis
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Xanthomatous hypophysitis.

Bishoy Hanna1, Yan M Li2, Timothy Beutler2

  • 1Department of Surgery, Staten Island University Hospital, 28 Arvin Road, Old Bridge, NJ 08857, USA.

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
|May 11, 2015
PubMed
Summary
This summary is machine-generated.

Xanthomatous hypophysitis (XH) is a rare inflammatory pituitary disorder. This case highlights its challenging diagnosis and the effectiveness of radiation therapy for vision improvement.

Keywords:
Pituitary inflammationPrimary hypophysitisXanthomatous hypophysitis

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Area of Science:

  • Endocrinology
  • Neurology
  • Ophthalmology

Background:

  • Pituitary masses can present with diverse symptoms, including headaches and visual disturbances.
  • Lymphocytic hypophysitis is an autoimmune inflammatory condition affecting the pituitary gland.

Observation:

  • A 69-year-old woman initially diagnosed with lymphocytic hypophysitis experienced worsening headaches and vision loss.
  • Recurrent pituitary mass growth despite initial steroid treatment indicated a need for further investigation.

Findings:

  • Histopathological re-evaluation revealed xanthomatous hypophysitis (XH), characterized by lipid-laden histiocytes.
  • Endoscopic transsphenoidal resection and subsequent radiation therapy led to improved vision and lesion stabilization.

Implications:

  • This case underscores the importance of considering alternative diagnoses in pituitary masses initially presumed to be lymphocytic hypophysitis.
  • Xanthomatous hypophysitis, though rare, requires a multidisciplinary approach involving neurosurgery, endocrinology, and radiation oncology for optimal management.