A decade without diagnosis: Sheehan’s syndrome
A decade without diagnosis: Sheehan’s syndrome作者机构：Department of Internal Medicine Federal University of Paraná Curitiba Brazil Faculty of Medicine Federal University of Paraná Curitiba Brazil
出 版 物：《Case Reports in Clinical Medicine》 (临床医学病理报告（英文）)
年 卷 期：2013年第2卷第8期
页 面：490-493页
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题：Sheehan’s Syndrome Pituitary Insufficiency Empty Sella
摘 要：Sheehan’s Syndrome (SS) occurs as a result of ischemic pituitary necrosis due to severe post-partum hemorrhage. We report a 41-year-old woman with a history of severe postpartum hemorrhage 18 years prior to presentation. During this period of time, she experienced severe fatigue. Three months prior to being admitted to our hospital, the patient started to notice alopecia, generalized edema and cognitive impairment. After proper investigation, laboratory tests and clinical findings indicated panhypopituitarism. In addition to neuroimaging and past medical history, SS was diagnosed and treatment started. We emphasize the importance of thorough investigation, further diagnosis and management of this condition (especially in third world countries), since SS is a neurological and endocrinological emergency and potentially life threatening.
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