دوره 19، شماره 77 - ( 4-1390 )                   جلد 19 شماره 77 صفحات 123-115 | برگشت به فهرست نسخه ها

XML English Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Valizadeh M, Seyyed Majidi M R. Report of 18 Patients with Sheehan’s Syndrome (A Case Series). J Adv Med Biomed Res 2011; 19 (77) :115-123
URL: http://journal.zums.ac.ir/article-1-1663-fa.html
ولی‌زاده مجید، سید مجیدی محمد‌رضا. گزارش 18 مورد بیمار مبتلا به سندرم شیهان. Journal of Advances in Medical and Biomedical Research. 1390; 19 (77) :115-123

URL: http://journal.zums.ac.ir/article-1-1663-fa.html


1- ، valizadeh@zums.ac.ir
چکیده:   (173179 مشاهده)

Sheehan’s syndrome has a broad spectrum of clinical and laboratory signs that range from nonspecific symptoms such as malaise, fatigue and anemia to severe hypophyseal insufficiency, which results in coma and death. We collected data from 18 patients diagnosed with Sheehan’s syndrome during the past 10 years. Patients profiles, including history, physical examination, clinical presentation that lead to diagnosis, routine biochemical tests, lipid profiles, thyroid function tests, and basal hypophyseal hormone levels were reviewed. The time spent for making a definitive diagnosis of the disease ranged between 10 to 30 years with a mean of 15.55 ± 5.04 years. Five patients (22%) had disturbances in their levels of consciousness at the time of presentation (four with hypoglycemia, one with severe hypothyroidism). Seven patients (39%) were evaluated for central hypothyroidism in outpatient service before definite diagnosis. All of the patients had a history of massive hemorrhage at delivery and lack of postpartum milk production. All of the patients have received replacement doses of Levothyroxine and Prednisolone. Considering the duration of disease, significant delays appear to occur in its diagnosis and treatment.

متن کامل [PDF 234 kb]   (159733 دریافت)    
نوع مطالعه: مقاله پژوهشی |
دریافت: 1390/8/26 | پذیرش: 1393/4/1 | انتشار: 1393/4/1

فهرست منابع
1. Sheehan HL. Postpartum necrosis of the anterior pituitary. J Pathol Bact. 1937; 45: 189-214. [DOI:10.1002/path.1700450118]
2. Sheehan HL. The frequency of postpartum hypopituitarism. Obstet Gynaecol Br Commonw. 1965; 72: 103-111. [DOI:10.1111/j.1471-0528.1965.tb01380.x] [PMID]
3. Abs R, Bengtsson B-A, Hernberg-Stahl E, et al. GH replacement in 1034 growth hormone deficient hypopituitary adults: Demographic and Sheehan's Syndrome 187 clinical characteristics, dosing and safety. Clin Endocrinol. 1999; 50: 703-13. [DOI:10.1046/j.1365-2265.1999.00695.x] [PMID]
4. Roberts DM. Sheehan's syndrome. Am Fam Physician. 1998; 37: 223-7. [DOI:10.1093/rheumatology/37.10.1139] [PMID]
5. Kovacs K. Sheehan syndrome. Lancet. 2003; 361: 520-2. [DOI:10.1016/S0140-6736(03)12490-7]
6. Aron DC, Findling JW, Tyrel JB, Hypothalamus and pituitary, In: Greenspan FS, Strewler DJ (eds). Basic&clinical endocrinolgy., New Jersey: Appleton&Lange; 1997; 95-156.
7. Ozkan Y, Colak R. Sheehan Syndrome: Clinical and laboratory evaluation of 20 cases. Neuroendocrinol Lett. 2005; 26: 257-60.
8. Dash RJ, Gupta V, Suri S. Sheehan's syndrome: clinical profile, pituitary hormone responses and computed sellar tomography. Aust N Z J Med. 1993; 23: 26031. [DOI:10.1111/j.1445-5994.1993.tb00533.x] [PMID]
9. Kelestimur F. sheehan, s syndrome. Pituitary. 2003; 6: 181-8. [DOI:10.1023/B:PITU.0000023425.20854.8e] [PMID]
10. Haddock L, Vega LA, Aguilo F, Rodriguez O. Adrenocortical, thyroidal and human growth hormone reserve in Sheehan's syndrome. Johns Hopkins Med J. 1972; 131: 80-99.
11. De Groot LJ. Textbook of endocrinology. Philadelphia: Saunders; 1989.
12. Kageyama Y, Hirose S, Terashi K, Nakayama S, Kamatsuzaki O, Fukuda H. A case of postpartum hypopituitarism (Sheehan's syndrome) associated with severe hyponatremia and congestive heart failure. Jap J Med. 1988; 27: 337-41. [DOI:10.2169/internalmedicine1962.27.337] [PMID]
13. Shoji M, Kimura T, Ota K, et al. Cortical laminar necrosis and central pontine myelinolysis in a patient with Sheehan syndrome and severe hyponatremia. Intern Med. 1996; 35: 427-31. [DOI:10.2169/internalmedicine.35.427] [PMID]
14. Umekawa T, Yoshida T, Sakane N, Kondo M. A case of Sheehan's syndrome with delirium. Psychiatry Clin Neurosci. 1996; 50: 327-30. [DOI:10.1111/j.1440-1819.1996.tb00574.x] [PMID]
15. Boulanger E, Pagniez D, Roueff S, et al. Sheehan syndrome presenting as early postpartum hyponatraemia. Nephrol Dial Transplant. 1999; 14: 2714-5. [DOI:10.1093/ndt/14.11.2714] [PMID]
16. Bayram F, ـnlühızarcı K, Keleştimur F. A retrospective investigation of the patients with Sheehan's syndrome seen in Erciyes University Medical School Hospital During the last 7 years. Tur JEM. 1996; 6: 279-91.
17. Vance ML. Hypopituitarism. N Engl J Med. 1994; 330: 1651-62. [DOI:10.1056/NEJM199406093302306] [PMID]
18. Briet JW. Diabetes insipidus, Sheehan's syndrome and pregnancy. Eur J Obstet Gynecol Reprod Biol. 1998; 77: 201-3. [DOI:10.1016/S0301-2115(97)00272-8]
19. Sheehan HL, Whitebread R. The neurohypophysis in postpartum necrosis of the anterior lobe of the pituitary gland. Acta Endocrinol. 1961; 37: 479-510. [DOI:10.1530/acta.0.0370479]
20. Laway BA, Mir SA, Dar MI, Zargar AH.Sheehan's syndrome with central diabetes insipidus. Arq Bras Endocrinol Metabol. 2011; 55: 171-4. [DOI:10.1590/S0004-27302011000200010] [PMID]
21. Sert M, Tetiker T, Kirim S, Kocak M. Clinical report of 28 patients with Sheehan,s syndorme. Endocrine J. 2003; 50: 297-301. [DOI:10.1507/endocrj.50.297] [PMID]
22. Huang YY, Ting MK, Hsu BR, Tsai JS. Demonstration of reserved anterior pituitary function among patients with amenorrhea after postpartum hemorrhage. Gynecol Endocrinol. 2000; 14: 99-104. [DOI:10.3109/09513590009167667] [PMID]

ارسال پیام به نویسنده مسئول


بازنشر اطلاعات
Creative Commons License این مقاله تحت شرایط Creative Commons Attribution-NonCommercial 4.0 International License قابل بازنشر است.

کلیه حقوق این وب سایت متعلق به Journal of Advances in Medical and Biomedical Research می باشد.

طراحی و برنامه نویسی : یکتاوب افزار شرق

© 2025 CC BY-NC 4.0 | Journal of Advances in Medical and Biomedical Research

Designed & Developed by : Yektaweb