Lymphoid hypophysitis in a patient with hypoglycemic episodes

Destructive inflammatory processes of the anterior pituitary gland are unusual and are rarely recognized either during life or at autopsy. A woman with recurrent episodes of hypoglycemia was found on autopsy to have a destructive lymphoid infiltrate in her adenohypophysis that appeared to result in only partial hypopituitarism. This lesion is thought to be an autoimmune disorder and has been reproduced experimentally. Four other cases have been reported previously in the world literature and are reviewed in this paper.