Clinical Report of 28 Patients with Sheehan's Syndrome

• SERT MURAT

  Cukurova University, Medical Faculty, Department of Internal Medicine, Endocrinology Division

• TETIKER TAMER

  Cukurova University, Medical Faculty, Department of Internal Medicine, Endocrinology Division

• KIRIM SINAN

  Cukurova University, Medical Faculty, Department of Internal Medicine, Endocrinology Division

• KOCAK MUSTAFA

  Cukurova University, Medical Faculty, Department of Internal Medicine, Endocrinology Division

抄録

The aim of the present study was to determine the clinical and hormonal characteristics with Sheehan’s syndrome in 28 cases that we had diagnosed and followed in the last 20 years. Twenty-eight patients with Sheehan’s syndrome, diagnosed and followed at our University Endocrinology Clinic in the last 20 years were reported in the study. Medical history, physical examination, routine laboratory examinations, pituitary hormone analysis, CT and/or MRI scan of the sella of the patients were reviewed. All patients had a history of massive hemorrhage at delivery and physical signs of Sheehan’s syndrome. Twenty-six of them lacked postpartum milk production, followed by failure of resumption of menses. There were 9 subjects with disturbances in consciousness associated with hyponatremia on admittance. All 28 patients had secondary hypothyroidism, adrenal cortex failure, hypogonadotrophic hypogonadism and growth hormone deficiency. Diabetes insipidus has not been found in any patient. Empty sellae were revealed in 8 patients by CT and/or MRI scan. Sheehan’s syndrome is still encountered in clinical practice occasionally. If not diagnosed early, it could cause increased morbidity and mortality. The most important clues for diagnosis of Sheehan’s syndrome are lack of lactation and failure of menstrual resumption after a delivery complicated with severe hemorrhage.

収録刊行物

• Endocrine Journal

  Endocrine Journal 50 (3), 297-301, 2003

  一般社団法人 日本内分泌学会

キーワード

• Sheehan’s syndrome
• Pituitary failure
• Hyponatremia
• Empty sellae

詳細情報

• CRID: 1390001206299517568
• NII論文ID: 130004443043
• NII論文ID: 30007813341
• NII論文ID: 50000262997
• NII書誌ID: AA10901436
• DOI: 10.1507/endocrj.50.297
• COI: 1:STN:280:DC%2BD3svgtFOgsA%3D%3D
• ISSN: 13484540
• ISSN: 09188959
• PubMed: 12940458
• Web Site: http://www.jstage.jst.go.jp/article/endocrj/50/3/50_3_297/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2004009214
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • PubMed
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可