{"id":"https://openalex.org/W1978425232","doi":"https://doi.org/10.1507/endocrj.k09e-277","title":"Pituitary and Stalk Lesions (Infundibulo-hypophysitis) Associated with Immunoglobulin G4-related Systemic Disease: an Emerging Clinical Entity","display_name":"Pituitary and Stalk Lesions (Infundibulo-hypophysitis) Associated with Immunoglobulin G4-related Systemic Disease: an Emerging Clinical Entity","publication_year":2009,"publication_date":"2009-01-01","ids":{"openalex":"https://openalex.org/W1978425232","doi":"https://doi.org/10.1507/endocrj.k09e-277","mag":"1978425232","pmid":"https://pubmed.ncbi.nlm.nih.gov/19926920"},"language":"en","primary_location":{"id":"doi:10.1507/endocrj.k09e-277","doi":"https://doi.org/10.1507/endocrj.k09e-277","is_oa":true,"landing_page_url":"https://doi.org/10.1507/endocrj.k09e-277","pdf_url":"https://www.jstage.jst.go.jp/article/endocrj/56/9/56_K09E-277/_pdf","source":{"id":"https://openalex.org/S191387813","display_name":"Endocrine Journal","issn_l":"0918-8959","issn":["0918-8959","1348-4540"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","medline","norway-1","oarl","poland-70","russia-white-list-3"],"host_organization":"https://openalex.org/P4310313267","host_organization_name":"Japan Endocrine Society","host_organization_lineage":["https://openalex.org/P4310313267"],"host_organization_lineage_names":["Japan Endocrine Society"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Endocrine Journal","raw_type":"journal-article"},"parent_works":[],"lineage":["https://openalex.org/W1978425232"],"child_works_count":0,"type":"review","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://www.jstage.jst.go.jp/article/endocrj/56/9/56_K09E-277/_pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5049772836","display_name":"Akira Shimatsu","orcid":"https://orcid.org/0000-0002-9688-006X","observed_orcids":["https://orcid.org/0000-0002-9688-006X"]},"institutions":[{"id":"https://openalex.org/I3017590076","display_name":"Kyoto Medical Center","ror":"https://ror.org/045kb1d14","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I3017590076","https://openalex.org/I4210137409"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Akira SHIMATSU","raw_affiliation_strings":["Clinical Research Institute, National Hospital Organization Kyoto Medical Center, Kyoto, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Research Institute, National Hospital Organization Kyoto Medical Center, Kyoto, Japan","institution_ids":["https://openalex.org/I3017590076"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103425859","display_name":"Yutaka Oki","orcid":"https://orcid.org/0000-0002-0363-0695","observed_orcids":["https://orcid.org/0000-0002-0363-0695"]},"institutions":[{"id":"https://openalex.org/I3123035732","display_name":"Hamamatsu University School of Medicine","ror":"https://ror.org/00ndx3g44","country_code":"JP","type":"education","lineage":["https://openalex.org/I3123035732"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Yutaka OKI","raw_affiliation_strings":["Department of Internal Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Internal Medicine, Hamamatsu University School of Medicine, Hamamatsu, Japan","institution_ids":["https://openalex.org/I3123035732"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020857243","display_name":"Ichiro Fujisawa","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210108658","display_name":"Kishiwada City Hospital","ror":"https://ror.org/01jhgy173","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210108658"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Ichiro FUJISAWA","raw_affiliation_strings":["Department of Radiology, Kishiwada City Hospital, Kishiwada, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiology, Kishiwada City Hospital, Kishiwada, Japan","institution_ids":["https://openalex.org/I4210108658"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5105987055","display_name":"Toshiaki Sano","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I922474255","display_name":"Tokushima University","ror":"https://ror.org/044vy1d05","country_code":"JP","type":"education","lineage":["https://openalex.org/I922474255"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Toshiaki SANO","raw_affiliation_strings":["Department of Pathology, Institute of Health Biosciences, The University of Tokushima Graduate School of Medicine, Tokushima, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pathology, Institute of Health Biosciences, The University of Tokushima Graduate School of Medicine, Tokushima, Japan","institution_ids":["https://openalex.org/I922474255"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":1.9285,"has_fulltext":true,"cited_by_count":168,"citation_normalized_percentile":{"value":0.87170264,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":100},"biblio":{"volume":"56","issue":"9","first_page":"1033","last_page":"1041"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11576","display_name":"IgG4-Related and Inflammatory Diseases","score":0.951200008392334,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11576","display_name":"IgG4-Related and Inflammatory Diseases","score":0.951200008392334,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10832","display_name":"Pituitary Gland Disorders and Treatments","score":0.04749999940395355,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10748","display_name":"Growth Hormone and Insulin-like Growth Factors","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/igg4-related-disease","display_name":"IgG4-related disease","score":0.9079999923706055},{"id":"https://openalex.org/keywords/pituitary-stalk-lesions","display_name":"pituitary stalk lesions","score":0.7770000100135803},{"id":"https://openalex.org/keywords/pituitary-lesions","display_name":"pituitary lesions","score":0.6919999718666077},{"id":"https://openalex.org/keywords/hypopituitarism","display_name":"hypopituitarism","score":0.9900000095367432},{"id":"https://openalex.org/keywords/diabetes-insipidus","display_name":"diabetes insipidus","score":1.0},{"id":"https://openalex.org/keywords/glucocorticoid-therapy","display_name":"glucocorticoid therapy","score":0.9390000104904175},{"id":"https://openalex.org/keywords/serum-igg4","display_name":"serum IgG4","score":0.7760000228881836},{"id":"https://openalex.org/keywords/hypertrophic-pachymeningitis","display_name":"hypertrophic pachymeningitis","score":0.8389999866485596},{"id":"https://openalex.org/keywords/autoimmune-hypophysitis","display_name":"autoimmune hypophysitis","score":0.7080000042915344},{"id":"https://openalex.org/keywords/pathogenesis","display_name":"pathogenesis","score":0.7239999771118164}],"concepts":[{"id":"https://openalex.org/C2780194577","wikidata":"https://www.wikidata.org/wiki/Q4120169","display_name":"Hypophysitis","level":4,"score":0.9432791471481323},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8159373998641968},{"id":"https://openalex.org/C2778491484","wikidata":"https://www.wikidata.org/wiki/Q922411","display_name":"Hypopituitarism","level":2,"score":0.7908308506011963},{"id":"https://openalex.org/C2777261759","wikidata":"https://www.wikidata.org/wiki/Q3350662","display_name":"Pituitary stalk","level":4,"score":0.6036425232887268},{"id":"https://openalex.org/C2776958162","wikidata":"https://www.wikidata.org/wiki/Q220551","display_name":"Diabetes insipidus","level":2,"score":0.5559480786323547},{"id":"https://openalex.org/C2778674544","wikidata":"https://www.wikidata.org/wiki/Q1414805","display_name":"Systemic disease","level":3,"score":0.5147064328193665},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.4847414195537567},{"id":"https://openalex.org/C2780841215","wikidata":"https://www.wikidata.org/wiki/Q422549","display_name":"Glucocorticoid","level":2,"score":0.47313132882118225},{"id":"https://openalex.org/C203014093","wikidata":"https://www.wikidata.org/wiki/Q101929","display_name":"Immunology","level":1,"score":0.4694843888282776},{"id":"https://openalex.org/C2780130043","wikidata":"https://www.wikidata.org/wiki/Q192360","display_name":"Autoimmunity","level":3,"score":0.4478069245815277},{"id":"https://openalex.org/C2777658017","wikidata":"https://www.wikidata.org/wiki/Q156871","display_name":"Pituitary gland","level":3,"score":0.43342894315719604},{"id":"https://openalex.org/C2780942790","wikidata":"https://www.wikidata.org/wiki/Q372016","display_name":"Pathogenesis","level":2,"score":0.42432135343551636},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.3682641386985779},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.2435598373413086},{"id":"https://openalex.org/C71315377","wikidata":"https://www.wikidata.org/wiki/Q11364","display_name":"Hormone","level":2,"score":0.218927264213562}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001327","descriptor_name":"Autoimmune Diseases","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":false},{"descriptor_ui":"D001327","descriptor_name":"Autoimmune Diseases","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D001327","descriptor_name":"Autoimmune Diseases","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D003937","descriptor_name":"Diagnosis, Differential","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007074","descriptor_name":"Immunoglobulin G","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":false},{"descriptor_ui":"D007074","descriptor_name":"Immunoglobulin G","qualifier_ui":"Q000276","qualifier_name":"immunology","is_major_topic":true},{"descriptor_ui":"D007249","descriptor_name":"Inflammation","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":false},{"descriptor_ui":"D007249","descriptor_name":"Inflammation","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D007249","descriptor_name":"Inflammation","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009929","descriptor_name":"Organ Size","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010900","descriptor_name":"Pituitary Diseases","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":false},{"descriptor_ui":"D010900","descriptor_name":"Pituitary Diseases","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D010900","descriptor_name":"Pituitary Diseases","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D010902","descriptor_name":"Pituitary Gland","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D010904","descriptor_name":"Pituitary Gland, Posterior","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1507/endocrj.k09e-277","doi":"https://doi.org/10.1507/endocrj.k09e-277","is_oa":true,"landing_page_url":"https://doi.org/10.1507/endocrj.k09e-277","pdf_url":"https://www.jstage.jst.go.jp/article/endocrj/56/9/56_K09E-277/_pdf","source":{"id":"https://openalex.org/S191387813","display_name":"Endocrine Journal","issn_l":"0918-8959","issn":["0918-8959","1348-4540"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","medline","norway-1","oarl","poland-70","russia-white-list-3"],"host_organization":"https://openalex.org/P4310313267","host_organization_name":"Japan Endocrine Society","host_organization_lineage":["https://openalex.org/P4310313267"],"host_organization_lineage_names":["Japan Endocrine Society"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Endocrine Journal","raw_type":"journal-article"},{"id":"pmid:19926920","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/19926920","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Endocrine journal","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1507/endocrj.k09e-277","doi":"https://doi.org/10.1507/endocrj.k09e-277","is_oa":true,"landing_page_url":"https://doi.org/10.1507/endocrj.k09e-277","pdf_url":"https://www.jstage.jst.go.jp/article/endocrj/56/9/56_K09E-277/_pdf","source":{"id":"https://openalex.org/S191387813","display_name":"Endocrine Journal","issn_l":"0918-8959","issn":["0918-8959","1348-4540"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","medline","norway-1","oarl","poland-70","russia-white-list-3"],"host_organization":"https://openalex.org/P4310313267","host_organization_name":"Japan Endocrine Society","host_organization_lineage":["https://openalex.org/P4310313267"],"host_organization_lineage_names":["Japan Endocrine Society"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Endocrine Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9763000011444092}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W1978425232.pdf","grobid_xml":"https://content.openalex.org/works/W1978425232.grobid-xml"},"referenced_works_count":35,"referenced_works":["https://openalex.org/W1512657626","https://openalex.org/W1963725083","https://openalex.org/W1969099953","https://openalex.org/W1991260738","https://openalex.org/W1995294173","https://openalex.org/W1998761228","https://openalex.org/W2000607856","https://openalex.org/W2001232548","https://openalex.org/W2002537558","https://openalex.org/W2015590363","https://openalex.org/W2017003957","https://openalex.org/W2029044886","https://openalex.org/W2031828235","https://openalex.org/W2032141844","https://openalex.org/W2035273687","https://openalex.org/W2040255649","https://openalex.org/W2040618687","https://openalex.org/W2052408161","https://openalex.org/W2052796954","https://openalex.org/W2056085563","https://openalex.org/W2061635952","https://openalex.org/W2069665158","https://openalex.org/W2084237757","https://openalex.org/W2120041584","https://openalex.org/W2123910594","https://openalex.org/W2132177633","https://openalex.org/W2132654668","https://openalex.org/W2138470954","https://openalex.org/W2141526936","https://openalex.org/W2143636396","https://openalex.org/W2147575618","https://openalex.org/W2157434468","https://openalex.org/W2170465383","https://openalex.org/W4211068179","https://openalex.org/W4229680656"],"related_works":["https://openalex.org/W2104092452","https://openalex.org/W1992451219","https://openalex.org/W2147575618","https://openalex.org/W2025090966","https://openalex.org/W2322536636","https://openalex.org/W3004039543","https://openalex.org/W2045290267","https://openalex.org/W2070313527","https://openalex.org/W2285081921"],"abstract_inverted_index":{"Inflammatory":[0],"lesions":[1],"of":[2,12,51,66,106,119,140,194,203],"the":[3,10,44,49,107,133,155,181],"pituitary":[4,75,78,109],"gland":[5],"are":[6,178],"rarely":[7],"encountered.":[8],"Recently,":[9],"concept":[11],"immunoglobulin":[13],"G4":[14],"(IgG4)-related":[15],"systemic":[16,121,159,208],"disease":[17,122],"was":[18],"proposed":[19],"in":[20,43,48,84,90,154,180],"Japan,":[21],"and":[22,47,68,71,123,166,175],"more":[23],"than":[24],"20":[25],"cases":[26,56,170],"have":[27],"been":[28],"reported":[29],"as":[30,99,190,199],"possibly":[31],"associated":[32,205],"with":[33,63,206],"infundibulo-hypophysitis":[34,204],"since":[35],"2000.":[36],"We":[37,184],"herein":[38],"review":[39],"such":[40],"case":[41],"reports":[42],"published":[45],"literature":[46],"abstracts":[50],"scientific":[52],"meetings.":[53],"Almost":[54],"all":[55],"involved":[57,179],"middle-aged":[58],"to":[59,86,96,136,150],"elderly":[60],"men":[61],"presenting":[62],"various":[64],"degrees":[65],"hypopituitarism":[67],"diabetes":[69],"insipidus":[70],"demonstrating":[72],"a":[73,91,100,137,152,191,200],"thickened":[74],"stalk":[76],"and/or":[77],"mass.":[79],"These":[80],"structures":[81,177],"shrank":[82],"remarkably":[83],"response":[85],"glucocorticoid":[87,115,130],"therapy,":[88],"even":[89],"lower":[92],"dose":[93],"range":[94],"similar":[95],"that":[97,163,172],"prescribed":[98],"replacement":[101],"for":[102,157],"adrenocortical":[103],"insufficiency.":[104],"Some":[105],"anterior":[108],"insufficiencies":[110],"were":[111,132],"also":[112],"resolved":[113],"by":[114],"administration.":[116],"The":[117,161],"presence":[118],"IgG4-related":[120,141,158,207],"an":[124],"elevated":[125],"serum":[126],"IgG4":[127],"level":[128],"before":[129],"therapy":[131],"main":[134],"clues":[135],"correct":[138],"diagnosis":[139],"infundibulo-hypophysitis.":[142],"Autoimmunity":[143],"is":[144],"suggested":[145,171],"but":[146,198],"not":[147,189],"yet":[148],"established":[149],"play":[151],"role":[153],"pathogenesis":[156],"disease.":[160,209],"fact":[162],"hypertrophic":[164],"pachymeningitis":[165],"para-sinusitis":[167],"accompanied":[168],"some":[169],"both":[173],"sellar":[174],"parasellar":[176],"chronic":[182],"inflammation.":[183],"therefore":[185],"classify":[186],"this":[187],"disorder":[188],"variant":[192],"form":[193,202],"primary":[195],"autoimmune":[196],"hypophysitis":[197],"secondary":[201]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":5},{"year":2023,"cited_by_count":3},{"year":2022,"cited_by_count":8},{"year":2021,"cited_by_count":8},{"year":2020,"cited_by_count":10},{"year":2019,"cited_by_count":9},{"year":2018,"cited_by_count":9},{"year":2017,"cited_by_count":15},{"year":2016,"cited_by_count":12},{"year":2015,"cited_by_count":15},{"year":2014,"cited_by_count":16},{"year":2013,"cited_by_count":14},{"year":2012,"cited_by_count":11}],"updated_date":"2026-11-14T11:04:58.165337","created_date":"2016-06-24T00:00:00"}
