Journal of Postgraduate Medicine
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Hypopituitarism presenting as congestive heart failure


 Department of Medicine, University College of Medical Sciences, GTB Hospital, New Delhi, India

Correspondence Address:
P Bansal,
Department of Medicine, University College of Medical Sciences, GTB Hospital, New Delhi
India
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Source of Support: None, Conflict of Interest: None

Sheehan's syndrome (SS) develops as a result of ischemic pituitary necrosis due to severe postpartum hemorrhage and is characterized by various degrees of hypopituitarism. Although the occurrence of SS is now rare, it should still be considered in any woman with a history of peripartum hemorrhage who develops manifestations of pituitary hormone deficiency any time following the event. Appropriate hormone replacement therapy results in marked clinical improvement. We present an unusual case of SS in a young lady who continued to have normal menstruation after the index event, had two spontaneous pregnancies, and was diagnosed only 11 years later when she presented to us with acute heart failure.


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    -  Giri S
    -  Bansal P
    -  Malik S
    -  Bansal R
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Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow