Prolactinoma in a diabetic dialysis patient with erectile dysfunction: a difficult differential diagnosis.

摘要: Dialysis patients often suffer from erectile dysfunction. The prevalence of this symptom in the context dialysis is as high 90%. Diabetes, diffuse vascular disease and pharmacological therapy are attendant causes condition, severely impairing quality life. Due to frequency dysfunction uremic patients, minimalist diagnostic approaches used. Nevertheless, a careful differential diagnosis also warranted well dialyzed identify corrigible patterns. case reported here exemplifies critical issue. A 44 year old obese diabetic patient complained about recent onset On examination, penile echo-Doppler was normal, suggested cause other than dia-betic disease. efficiency (daily hemodialysis, flexible schedules, EKRc 15 25 ml/min) same work-up would adopted for non-uremic patients. Whilst rising prolactine level (76.1 µg/l 129 ng/ml) still range commonly found nuclear magnetic resonance examination carried out led identification prolactinoma. Therapy with cabergoline effective sexual potency restored. Normalization hormonal patterns followed within 2 months. This first so far daily patient. It underlines importance non-minimalist approach problem disorders renal replacement (RRT) at least when rapid. suggests considering prolactinoma an emerging general population, which can be detected by use sensitive imaging techniques condition.