Hyperprolactinemia

Hyperprolactinemia is a topic covered in the Diagnosaurus.

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Etiology

Physiologic

  • Pregnancy
  • Postpartum
  • Suckling
  • Nipple stimulation
  • Macroprolactinemia (relatively inactive "big prolactin")
  • Idiopathic
  • Exercise
  • Sleep (REM phase)
  • Stress (trauma, surgery)
Drugs (selected)
  • Psychotropics
  • Cimetidine
  • Tricyclic antidepressants
  • Oral contraceptives
  • Marijuana
Pathologic
  • Prolactinoma
  • Hypothyroidism
  • Cirrhosis
  • Renal failure
  • Acromegaly (pituitary tumor may cosecrete prolactin & growth hormone)
  • Hypothalamic disease
  • Other growth near pituitary
  • Systemic lupus erythematosus
  • Chronic chest wall stimulation (nipple piercing, mastectomy, thoracotomy, herpes zoster, breast augmentation)
  • Multiple sclerosis
  • Optic neuritis
  • Spinal cord lesions

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Last updated: December 1, 2014

Citation

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TY - ELEC T1 - Hyperprolactinemia ID - 114304 A1 - Zeiger,Roni F, Y1 - 2014/12/01/ BT - Diagnosaurus UR - https://im.unboundmedicine.com/medicine/view/Diagnosaurus/114304/all/Hyperprolactinemia PB - McGraw-Hill Education ET - 4 DB - Medicine Central DP - Unbound Medicine ER -