| Table
7: |
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Differential
Diagnosis of Hyperprolactinemia
|
- Physiologic
- Pregnancy,
postpartum, suckling, stress, hypoglycemia, intercourse, neonate
- Pituitary
disorders
- Prolactinomas,
Mixed pituitary tumors, lymphocytic hypophysitis, empty sella
- Nonfunctioning
pituitary tumors with stalk compression
- Hypothalamic/Stalk
disorders
- Aneurysm
- Inflammatory
- Sarcoidosis,
histocytosis, other granulomatous disorders
- Neoplastic
- Craniopharyngiomas,
meningiomas, gliomas, dysgerminomas, metastasis
- Trauma,
radiotherapy
- Drugs
- Neuroleptics,
methyldopa, reserpine, metoclopramide, opiates, cocaine, cimetidine,
ranitidine, verapamil, tricyclic antidepressants, monoamine
oxidase inhibitors, estrogen, antiandrogens, some SSRIs including
fluoxetine and fluvoxamine
- Hypothyroidism,
chronic renal failure, cirrhosis,
- Neurogenic
- Chest
wall disorders
- Spinal
nerve or cord disorder, seizures
- Ectopic:
Hypernephroma, gonadoblastoma, ovarian teratomas
- Idiopathic
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