Emotionally induced galactorrhoea in a non-lactating female –“Pseudo- Lactation”?

BMC Endocrine Disorders

Prasad Katulanda¹  Chinthana Dematapitiya²  Sisil Keerthisena²  Harsha Dissanayake² 

[1] Diabetes Research Unit, Department of Clinical Medicine, Faculty of Medicine, University of Colombo, Colombo 7 007, Western province, Sri Lanka;Diabetes Research Unit, Faculty of Medicine, University of Colombo, Colombo 7 007, Western Province, Sri Lanka

关键词: Hyperprolactinaemia;    Galactorrhoea;    Pseudo-lactation;   

Others  :  1084666
DOI  :  10.1186/1472-6823-14-98

 received in 2014-07-11, accepted in 2014-12-09,  发布年份 2014

【 摘 要 】

Background

Galactorrhoea is a common clinical problem in endocrinology. Visual and auditory cues from the newborn are known to stimulate prolactin secretion in lactating women. However, hyperprolactinaemia and galactorrhoea in a non-lactating female due to visual and auditory stimuli from an unrelated newborn has not been reported in the past. We report the first such case of ‘pseudo-lactation’.

Case presentation

An 18-year-old girl with type 1 diabetes mellitus presented with galactorrhoea. Apparently galactorrhoea was preceded by seeing the baby, hearing her cries or when remembering her memories. Her menstrual cycles were normal and did not complain of any headache or visual disturbances. She was only on metformin and insulin. Symptoms have rapidly resolved after the newborn was shifted to another location. Examination revealed scanty nipple discharge with gentle pressure. Investigations revealed an elevated serum prolactin of 62.5 ng/mL (2717.4 pmol/L) and fasting plasma glucose of 142 mg/dL (7.9 mmol/L) and HbA1c of 7.6%. Her thyroid function was normal and MRI at the time of galactorrhoea was not available. At 3 months prolactin was normal and MRI revealed only a slight asymmetry of the pituitary without evidence of microadenoma.

Conclusion

The strong temporal relationship between her symptoms and emotional attachment to the newborn with exclusion of other causes on clinical, biochemical and radiological evidence, raise the possibility that transient hyperprolactinaemia was due to a transient lactotroph hyperplasia and hyper function which had been triggered by the stimulatory cues from the newborn.

Emotionally induced “pseudo lactation” may be a rare but important cause for transient hyperprolactinaemia in a non-lactating female.

【 授权许可】

   
2014 Dissanayake et al.; licensee BioMed Central.

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