Diferencia entre revisiones de «Sheehan's syndrome»
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==Evaluation== | ==Evaluation== | ||
*Evaluation of serum prolactin levels is not performed as it is difficult to differentiate low from normal serum prolactin levels | |||
===Workup=== | ===Workup=== | ||
Revisión del 18:04 7 oct 2021
Background
- Also known as postpartum hypopituitarism
- Caused by pituitary hypoperfusion and infarction usually in the setting of postpartum hemorrhage
- During pregnancy there is enlargement of the pituitary gland predisposing it to ischemia in low-flow states
Clinical Features
- Symptoms consistent with adrenal insufficiency, hypothyroidism and hypogonadism
- Inability to lactate
- Amenorrhea or oligomenorrhea
- Fatigue
- Cold intolerance
- Lethargy
- Weight loss
Differential Diagnosis
Evaluation
- Evaluation of serum prolactin levels is not performed as it is difficult to differentiate low from normal serum prolactin levels
Workup
Diagnosis
Management
- Currently no treatment is available but there is an ongoing small open-label pilot study looking at using recombinant human prolactin