Gynecomastia and hyperprolactinemia secondary to advanced allergic fungal rhinosinusitis in a pediatric patient

Academic Article


  • Hyperprolactinemia is a rare entity in the pediatric population. The most common causes of hyperprolactinemia include drug use, hypothyroidism and renal insufficiency, though rarely a pituitary or sellar mass is discovered. We present an immunocompetent pediatric patient who presented with gynecomastia and was found to have hyperprolactinemia. Imaging showed a sphenoid mass and referral was made for a pituitary tumor. The mass was not a pituitary tumor and he was formally diagnosed with allergic fungal sinusitis and treated surgically. There are no previous reports of allergic fungal rhinosinusitis causing pituitary dysfunction in a pediatric patient. We also present a brief review and discussion of the treatment of allergic fungal sinusitis.
  • Published In

    Digital Object Identifier (doi)

    Author List

  • Menendez JY; Woodworth BA; Johnston JM
  • Start Page

  • 166
  • End Page

  • 168
  • Volume

  • 26
  • Issue

  • 1