TY - JOUR T1 - SHEEHAN’S SYNDROME WITH RECURRENT HYPONATREMIA AND ANEMIA: A CASE REPORT AU - Benk Silfeler, Dilek AU - Celik, Murat AU - Gökçe, Cumali AU - Balci, Ali AU - Dolapcioglu, Kenan AU - Guler Okyay, Ayse PY - 2014 DA - April JF - EASTERN JOURNAL OF MEDICINE PB - Van Yüzüncü Yıl Üniversitesi WT - DergiPark SN - 1301-0883 SP - 33 EP - 37 VL - 19 IS - 1 LA - en AB - Sheehan’s syndrome (SS) occurs due to ischemic pituitary necrosis after severepostpartum hemorrhage.The clinical spectrum of SS is wide and changes from non-specific complaints such as weakness, fatigue, and anemia to severe pituitary insufficiency including secondary adrenal failure and hypothyroidism resulting in coma and death.We present a case of Sheehan’s syndrome who had recurrent hyponatremia episodes due to the late diagnosis of the disorder. KW - Sheehan’s syndrome KW - postpartum hemorhage KW - recurrent hyponatremia CR - Keleştimur F. Sheehan's syndrome. Pituitary 2003; 6: 181-1 CR - Sheehan H. Postpartum necrosis of the anterior pituitary. J Path Bacteriol 1937; 45: 189-214. CR - Kovacs K. Sheehan syndrome. Lancet 2003; 361: 5205 CR - Karaca Z, Tanriverdi F, Unluhizarci K, Kelestimur F. Pregnancy and pituitary disorders European Journal of Endocrinology 2010; 162: 453-475. CR - Guven M, Bayram F, Guven K, Kelestimur F. Evaluation of patients admitted with hypoglycaemia to a teaching hospital in Central Anatolia. Postgrad Med J 2000; 76: 150-152. CR - Bunch TJ, Dunn WF, Basu A, Gosman RI. Hyponatremia and hypoglycemia in acute Sheehan’s syndrome. Gynecol Endocrinol 2002; 16: 419-423. CR - Huang YY, Ting MK, Hsu BRS, Tsar JS. Demonstration of reserved anterior pituitary function among patients with amenorrhea after postpartum hemorrhage. Gynecol Endocrinol 2000; 14: 99-104. CR - Anfuso S, Patrelli TS, Soncini E, et al. A case report of Sheehan’s syndrome with acute onset, hyponatremia and severe anemia Acta Biomed 2009; 80: 73-76. CR - Discala VA, Kinney MJ. Effects of myxedema on the renal diluting and concentrating mechanism. Am J Med 1971; 50: 325-335. CR - Roberts DM. Sheehan’s syndrome. Am Fam Physician 1998; 37: 223-227. CR - Boulanger E, Pagniez D, Roueff S, et al. Sheehan syndrome presenting as early post-partum hyponatraemia. Nephrol Dial Transplant 1999; 14: 2714-2715. CR - Sidorov J, Mitnick P. Postpartum hyponatremia. Am J Med 1987; 83: 183-184. CR - Danis R, Ozmen S, Parmaksiz E, Ozmen CA, Yazanel O. A Case of Sheehan’s Syndrome Admitting with Severe Hyponatremia Official Journal of the Turkish Society of Nephrology 2005; 14: 208-210. CR - Kelestimur F. GH deficiency and the degree of hypopituitarism. Clin Endocrinol (Oxf) 1995; 42: 4434 CR - Putterman C, Almog Y, Caraco Y, Gross DJ, BenChetrit E. Inappropriate secretion of antidiuretic hormone in Sheehan’s syndrome: a rare cause of postpartum hyponatremia. Am J Obstet Gynecol 1991; 165: 1330-1333. CR - Skowsky WR, Kikuchi TA. The role of vasopressin in the impaired water excretion of myxoedema. Am J Med 1978; 64: 613. UR - https://dergipark.org.tr/tr/pub/ejm/issue//72642 L1 - https://dergipark.org.tr/tr/download/article-file/62240 ER -