DOI: http://dx.doi.org/10.18203/2349-3933.ijam20183916

Post-partum recurrent hypoglycemia

Abraham A. Kodiatte, Jubbin J. Jacob

Abstract


Hypoglycemia can be effortless to treat. Its evaluation on the other hand, needs a thorough appraisal. The studied patient had recurrent episodes of hypoglycemia post-delivery which were unprovoked. These conspicuous episodes of hypoglycemia prompted an evaluation and a swift arrival at the diagnosis. In hindsight, she had multiple, typical risk factors predisposing her to develop a Sheehan’s syndrome. This was an acute presentation of a familiar disease


Keywords


Hypoglycemia, Sheehan’s syndrome

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References


Güven M, Bayram F, Güven K, Kelestimur F. Evaluation of patients admitted with hypoglycaemia to a teaching hospital in Central Anatolia. Postgrad Med J. 2000 Mar 1;76(893):150-2.

Sheehan HL. Post‐partum necrosis of the anterior pituitary. J Pathol Bacteriol. 1937 Jul;45(1):189-214.

Roberts DM. Sheehan's syndrome. Am Fam Physician. 1988 Jan;37(1) 223-227.

Ramiandrasoa C, Castinetti F, Raingeard I, Fenichel P, Chabre O, Brue T, et al. Delayed diagnosis of Sheehan's syndrome in a developed country. A retrospective cohort study. Eur J Endocrinol. 2013 Jul 17:EJE-13.

Gokalp D, Alpagat G, Tuzcu A, Bahceci M, Tuzcu S, Yakut F, et al. Four decades without diagnosis: Sheehan‘s syndrome, a retrospective analysis. Gynecol Endocrinol. 2016 Nov 1;32(11):904-7.

Tessnow AH, Wilson JD. The changing face of Sheehan's syndrome. Am J Med Sci. 2010 Nov;340(5):402-6.

Kurtulmus N, Yarman S. Hyponatremia as the presenting manifestation of Sheehan's syndrome in elderly patients. Aging Clin Exp Res. 2006 Dec;18(6):536-9.

Yaylaci S, Demir MV, Aytürk S, Tamer A. Sheehan’s syndrome: Presented with hyponatremia and hypoglycemia after 14 years from delivery. Indian J Endocrinol Metabolism. 2012;16(2):322-3.

Bunch TJ, Dunn WF, Basu A, Gosman RI. Hyponatremia and hypoglycemia in acute Sheehan's syndrome. Gynecol Endocrinol. 2002 Oct;16(5):419-23.

Boulanger E, Pagniez D, Roueff S, Binaut R, Valat AS, Provost N, et al. Sheehan syndrome presenting as early post-partum hyponatraemia. Nephrol Dialysis Transplant. 1999 Nov 1;14(11):2714-5.

Diri H, Tanriverdi F, Karaca Z, Senol S, Unluhizarci K, Durak AC, et al. Extensive investigation of 114 patients with Sheehan's syndrome: a continuing disorder. Eur J Endocrinol. 2014 Sep 1;171(3):311-8.

Gei-Guardia O, Soto-Herrera E, Gei-Brealey A, Chen-Ku C. Sheehan syndrome in Costa Rica: clinical experience with 60 cases. Endocrine Pract. 2010 Nov 1;17(3):337-44.