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Sheehan's syndrome presenting as psychosis: a rare clinical presentation
Authors:Sheikh Shoib  Mohamand Maqbool Dar  Tasleem Arif  Haamid Bashir  Mohammad Hayat Bhat  Javid Ahmed
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.
Keywords:Hypopituitarism  Psychosis  Sheehan''s syndrome  Thyroxine
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