Open AccessRecurrent hypoglycemia…: A less well-known presentation of Sheehan′s syndrome
Author(s) -
RV Dosi,
NR Bhatt,
RD Patell,
RR Raj
Publication year - 2013
Publication title -
journal of postgraduate medicine/journal of postgraduate medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.405
H-Index - 52
eISSN - 0972-2823
pISSN - 0022-3859
DOI - 10.4103/0022-3859.123167
Subject(s) - medicine , sheehan's syndrome , hypoglycemia , pediatrics , myxedema , presentation (obstetrics) , hypopituitarism , surgery , insulin , endocrinology , thyroid
Sheehan's syndrome is a rare cause of recurrent hypoglycemia. We present a case of a middle aged woman who presented with recurrent life threatening hypoglycemia. Based on a past history of severe post partum hemmorhage and a clinical picture of myxedema and secondary amennorhea, laboratory and neuroimaging was undertaken to confirm a diagnosis of Sheehan's syndrome. The patient responded to treatment with thyroxine and steroids in replacement doses. The case report emphasises the importance of early suspicion and management of this easily missed and treatable condition.