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Journal of Case Reports
An unusual association of Sheehan’s syndrome with pancytopenia
R.V.Dosi, S. Saraiya, R.D.Patell, N.N.Sonune, S.D. Sheth
From the Department of Medicine,
Government Medical College & S.S.G. Hospital, Vadodara, Gujarat, India
Corresponding Author:
Dr. R.V.Dosi
Email: rupal265@yahoo.com
Received: 16-JUN-2012 Accepted: 18-JUN-2012 Published Online: 30-JUN-2012
DOI: http://dx.doi.org/10.17659/01.2012.0008
Abstract
Sheehan’s syndrome or postpartum pituitary necrosis is hypopituitarism, caused by necrosis due to blood loss and hypovolemic shock as a complication of pregnancy. We describe a case of 45 year old woman with Sheehan’s syndrome who presented with recurrent symptomatic hypoglycaemia and pancytopenia. Association of Sheehan’s syndrome and pancytopenia is rare and to best of our knowledge only eight cases have been reported so far. The symptomatic treatment with levothyroxine, prednisolone, bisphosphonates, calcium and vitamin D cured her general symptoms, hypoglycemia and pancytopenia.
Keywords : Sheehan’s syndrome, Pancytopenia, Hypopituitarism.
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