Seeking Insights: Pituitary Tumor (Acromegaly) Diagnosed After GPA

2024.11.27 05:40 jadarlin Seeking Insights: Pituitary Tumor (Acromegaly) Diagnosed After GPA

I wanted to share a recent and complex case I’ve been navigating personally and seek any insights or similar experiences you might have encountered in your practice. About five months ago, I was diagnosed with GPA (granulomatosis with polyangiitis). During the diagnostic workup, including imaging, an MRI revealed a pituitary tumor, which subsequently led to a diagnosis of acromegaly.
Both my rheumatologist and endocrinologist agree these two rare conditions are likely independent of one another, but as a patient, it’s hard not to wonder if there could be any correlation or underlying connection that hasn’t been fully explored. The timing feels almost too coincidental to ignore.
To add context, I began Rituxan treatment for GPA shortly before the pituitary tumor was discovered. The tumor requires surgical intervention, but given my immunosuppressed state, surgery has been delayed until my immune system recovers. My biggest concern right now is the possibility of the tumor impacting my optic nerve, which might necessitate surgery sooner, even with the associated risks.
This journey has been emotionally and physically overwhelming—not just from managing GPA and acromegaly simultaneously, but also the side effects of treatments like prednisone and the uncertainty of waiting for surgery.
I’m curious if anyone has come across similar cases in their practice—either a patient presenting with GPA and a pituitary tumor or a concurrent diagnosis of acromegaly—or if you’ve observed any potential links between rare autoimmune conditions and pituitary dysfunction.
Thank you for any insights, anecdotes, or literature you can share. It’s a challenging time, and any perspective would be deeply appreciated.
Best regards, A patient navigating uncharted territory
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2024.11.27 05:40 supremebliss How do I reawaken my (f) sexual desire towards men?

Yes, I know the title is a bit weird. Let me explain
CW: SA
I've been with my partner (m) for 4 years now. I know I've been bisexual since an early age, though at the time we got together I was mostly with men. Now, however, I find myself losing attraction to men, and leaning more and more towards women. To be clear, I still love my partner. But it's clear that our sex life is not where it used to be or where it should be.
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2024.11.27 05:40 kerouacapologist Sweater Texture Issue after blocking (berkshire bulky) on

(cross posted to other knitting communities on reddit!)
hi guys! i had been working on a surprise sweater for my partner for the past few months and just recently blocked it and now the cables have shrunk and the texture is no longer thick and fluffy. it’s still drying right now but i’m literally on the verge of tears seeing the difference between the original sweater and how it looks now. It’s been drying for two days and his birthday is next week so I know it will dry in time but I am wondering if there is any way to fluff the texture up again. It is made of 15% alpaca and 85% wool from Valley Yarns (Berkshire Bulky)
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2024.11.27 05:40 Scalping-Speculator How can I bring myself to the level of Tier-1 MBAs being in an average b-school?

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Hello everyone,
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