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Sheehan’s syndrome presenting as psychosis: a rare clinical presentation

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Author(s): Sheikh Shoib | Mohamand Maqbool Dar | Tasleem Arif | Haamid Bashir | Mohammad Hayat Bhat | Javid Ahmed

Journal: Medical Journal of the Islamic Republic of Iran
ISSN 1016-1430

Volume: 27;
Issue: 1;
Start page: 35;
Date: 2013;
Original page

Keywords: Hypopituitarism | Psychosis | Sheehan’s syndrome | Thyroxine.

ABSTRACT
 Abstract Sheehan’s syndrome (SS) refers to the occurrence of varying degree of hypopituitarism after parturition (1). It is a rare cause of hypopituitarism in developed countries owing to advances in obstetric care and its frequency is decreasing worldwide. However, it is still frequent in underdeveloped and developing countries. Sheehan’s syndrome is often diagnosed late as it evolves slowly (2,3). Reports of psychoses in patients with Sheehan’s syndrome are rare. Herein, a case report of psychosis in a 31 year old woman who developed Sheehan’s syndrome preceded by postpartum haemorrhage is presented. Treatment with thyroxine and glucocorticoids resulted in complete remission after attaining euthyroid and eucortisolemic state. 

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