|
|
(281 intermediate revisions by 9 users not shown) |
Line 1: |
Line 1: |
|
| |
|
| *Historical Perspective[ Postpartum ischemic pituitary necrosis was first reported about a century ago in Przeglad Lekarski by Leon Konrad Gliński, though it was named after Harold Sheehan. Postpartum ischemic pituitary necrosis is still one of the most common causes of hypopituitarism in developing countries but it's prevalence is decreased in developed countries because of improved obstetrical care. Mostly, PPH leading to severe hypotension or shock results in Sheehan's syndrome.<ref name="pmid26817341">{{cite journal |vauthors=Krysiak R, Okopień B |title=[Sheehan's syndrome--a forgotten disease with 100 years' history] |language=Polish |journal=Prz. Lek. |volume=72 |issue=6 |pages=313–20 |year=2015 |pmid=26817341 |doi= |url=}}</ref>
| |
| *Classification[edit | edit source]
| |
| *Pathophysiology[Apart from vasospasm, thrombosis and compression of the hypophyseal arteries, Pituitary gland enlargement, autoimmunity, DIC and smaller size of sella are thought to play a contributing role in pathogenesis of sheehan Syndrome.<ref name="pmid15237929">{{cite journal |vauthors=Keleştimur F |title=Sheehan's syndrome |journal=Pituitary |volume=6 |issue=4 |pages=181–8 |year=2003 |pmid=15237929 |doi= |url=}}</ref>. It is thought that tissue necrosis could release sequestered antigens, triggering autoimmunity of the pituitary and delayed hypopituitarism in Sheehan's syndrome.<ref name="pmid12213861">{{cite journal |vauthors=Goswami R, Kochupillai N, Crock PA, Jaleel A, Gupta N |title=Pituitary autoimmunity in patients with Sheehan's syndrome |journal=J. Clin. Endocrinol. Metab. |volume=87 |issue=9 |pages=4137–41 |year=2002 |pmid=12213861 |doi=10.1210/jc.2001-020242 |url=}}</ref> ]
| |
| *Causes[edit | edit source]
| |
| Differentiating ((Page name)) from Other Diseases[edit | edit source]
| |
| *Epidemiology and Demographics: [ ]
| |
| *Risk Factors[edit | edit source]
| |
| *Screening[edit | edit source]
| |
| *Natural History, Complications, and Prognosis[edit | edit source]
| |
| *Diagnosis[edit | edit source]
| |
| *Diagnostic Criteria[edit | edit source]
| |
| History and Symptoms[edit | edit source]
| |
| Physical Examination[edit | edit source]
| |
| Laboratory Findings[edit | edit source]
| |
| Electrocardiogram[edit | edit source]
| |
| X-ray[edit | edit source]
| |
| CT scan[edit | edit source]
| |
| MRI[edit | edit source]
| |
| Ultrasound[edit | edit source]
| |
| Other Imaging Findings[edit | edit source]
| |
| Other Diagnostic Studies[edit | edit source]
| |
| Treatment[edit | edit source]
| |
| Medical Therapy[edit | edit source]
| |
| Surgery[edit | edit source]
| |
| Primary Prevention[edit | edit source]
| |
| Secondary Prevention[edit | edit source]
| |
| References[edit | edit source]
| |