Indian Journal of Medical Specialities Trust
 
Teaching Round
 
Fatiguability, asthenia and body swelling in a young female
 
Arunkumar R Pande, Amit Kumar
Department of Medicine, Lady Hardinge Medical College & SSK Hospital, New Delhi-110001..

Corresponding Author: Arunkumar R Pande, Department of Medicine, Lady Hardinge Medical College & SSK Hospital, New Delhi-110001.


Abstract

A 32 year female presented with easy fatiguability, asthenia and generalised swelling of 8 years duration. Past history revealed a home delivery 8 years back complicated with post partum haemorrhage. Lactation failure and secondary amenorrhoea followed this delivery. Examination revealed a delayed ankle reflex. Hormonal profile suggested panhypopituitarism. A diagnosis of Sheehan’s syndrome was made. Sheehan’s syndrome, a rare complication of post-partum haemorrhage, is often missed and mean duration between start of disease and diagnosis usually is 5-8 years. Hence, a high index of suspicion and awareness of this entity is important.


 
 
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