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https://read.qxmd.com/read/38445135/a-case-report-of-sheehan-syndrome-a-rare-cause-of-hypopituitarism
#1
Ana Luís Vasconcelos, Rita Pinto Ribeiro, Patrícia Claúdio Ferreira, Joana Maciel, Rosário Araújo
Sheehan syndrome is a rare cause of hypopituitarism characterized by pituitary gland necrosis after postpartum hemorrhage. It is a pertinent cause of maternal morbidity and mortality in developing countries with deficient obstetrical care but is frequently overlooked in developed countries where its occurrence is uncommon. We present the case of a 66-year-old female diagnosed with Sheehan syndrome more than 30 years after her last delivery complicated by postpartum hemorrhage. Although the patient presented several symptoms and signs of pituitary hormonal deficiencies, a diagnosis had never been established before...
February 2024: Curēus
https://read.qxmd.com/read/38435165/a-case-report-of-hemolytic-hyponatremia
#2
Santiago Manrique-Castaño, Luisa Rodríguez-Rosero, Raúl Vallejo-Serna
Hereditary spherocytosis/elliptocytosis is a non-immune hemolytic anemia caused by an alteration in the erythrocyte membrane that predisposes the cell to its lysis. This report presents a case of a 42-year-old woman with a history of spontaneous abortion, associated with postpartum bleeding, chronic anemia, and premature menopause. After five years, she consulted due to alterations in the state of consciousness and severe symptomatic hyponatremia, with a diagnosis of hypopituitarism, explained by a late Sheehan syndrome...
February 2024: Curēus
https://read.qxmd.com/read/38388370/effectiveness-of-computer-based-stress-inoculation-training-sit-counseling-approach-on-anxiety-depression-and-stress-of-students-with-premenstrual-syndrome
#3
JOURNAL ARTICLE
Fatemeh Zolfaghary, Hajar Adib-Rad, Fatemeh Nasiri-Amiri, Mahbobeh Faramarzi, Hajar Pasha, Hemmat Gholinia-Ahangar
BACKGROUND: Premenstrual Syndrome (PMS) is a common public health issue affecting many women of reproductive age worldwide. This study has been designed to investigate of computer-based stress inoculation training (SIT) counseling approach on anxiety, depression, and stress of university students with PMS. METHODS: A randomized trial study with two parallel arms was done from 30 October 2022 to 21 June 2023 on 100 university students aged 18 to 38 at Babol University of Medical Sciences...
February 22, 2024: BMC Public Health
https://read.qxmd.com/read/38345043/primary-intraosseous-granular-cell-tumor-of-the-sphenoid-and-central-skull-base-in-a-pediatric-patient
#4
JOURNAL ARTICLE
Delaney Sheehan, Belinda Mantle, Ashley Kraft, Randall Craver, Christopher Arcement, Renee Gardner, Ellen Zakris, Daniel Nuss
BACKGROUND: Granular cell tumors occur in all ages and many anatomic sites. In the craniofacial region, they typically arise in soft tissue, not bone. We present a primary intra-osseous granular cell tumor of the sphenoid and central skull base arising in a 12- year- old girl. CASE REPORT: A 12-year-old female with sickle cell disease and Jeavons syndrome presented with seizures. Imaging and partial resection revealed an expansile benign granular cell tumor (GCT) involving the sphenoid body, pterygoid process, and central skull base...
February 12, 2024: Fetal and Pediatric Pathology
https://read.qxmd.com/read/38344342/delayed-sheehan-s-syndrome-diagnosed-during-the-evaluation-of-secondary-infertility-a-case-report
#5
Surbhi Saxena, Vishesh Verma, Samir Samadarshi, Thinley Dorji, Jayaraman Muthukrishnan
Sheehan's syndrome may present with postpartum lactation failure and amenorrhea or with features of isolated hypopituitarism to panhypopituitarism. A high index of suspicion is required in a relevant clinical setting of postpartum hemorrhage.
February 2024: Clinical Case Reports
https://read.qxmd.com/read/38330169/-how-do-i-test-the-waters-how-do-i-go-forward-co-designing-a-supportive-pathway-after-critical-illness
#6
JOURNAL ARTICLE
Alisha A da Silva, Catherine L Granger, Shaza Abo, Janne Sheehan, Elizabeth Barson, Lisa Beach, Gemma Pound, Yasmine Ali Abdelhamid, Kate Fetterplace, Natalie A Fini, Mark Merolli, Evelyn Sloan, Selina M Parry
Rationale: Long-term recovery following critical illness can be affected by Post-intensive Care Syndrome (PICS), a significant burden which can impact return to activities and work. There is need for streamlined support for Intensive Care Unit (ICU) patients in their recovery whilst enduring PICS symptoms. Objectives: To explore critical illness recovery from the experiences, perspectives, and beliefs of former ICU patients, their caregivers, and multidisciplinary clinicians to design a future rehabilitation pathway to support ICU patients...
February 8, 2024: Annals of the American Thoracic Society
https://read.qxmd.com/read/38150524/a-systematic-review-of-the-impact-of-hiv-related-stigma-and-serostatus-disclosure-on-retention-in-care-and-antiretroviral-therapy-adherence-among-women-with-hiv-in-the-united-states-canada
#7
JOURNAL ARTICLE
Ekpereka Sandra Nawfal, Aaliyah Gray, Diana M Sheehan, Gladys E Ibañez, Mary Jo Trepka
This systematic review explores the roles of HIV stigma and disclosure of HIV serostatus in antiretroviral therapy (ART) adherence and retention in care (RIC) among women with HIV (WHIV) in the United States and Canada. We conducted a systematic search of electronic databases (PubMed, Embase, CINAHL, PsycINFO, and Google scholar) to identify peer-reviewed articles published between January 1996 and December 2022. The search yielded 1120 articles after duplicates were removed. Of these, 27 articles met the inclusion criteria...
December 26, 2023: AIDS Patient Care and STDs
https://read.qxmd.com/read/38133577/factors-associated-with-covid-19-vaccination-among-racial-ethnic-minority-groups-with-hiv-in-south-florida
#8
JOURNAL ARTICLE
Daisy Ramírez-Ortiz, Michele Jean-Gilles, Diana M Sheehan, Robert Ladner, Tan Li, Mary Jo Trepka
BACKGROUND: Racial/ethnic minority groups with HIV in the United States are particularly vulnerable to COVID-19 consequences and can significantly benefit from increased uptake of COVID-19 vaccines. This study identified factors associated with full COVID-19 vaccination among people with HIV. SETTING: Ryan White HIV/AIDS Program (RWP) in Miami-Dade County, Florida. METHODS: Data were collected from 299 RWP adult clients during January-March 2022 using a cross-sectional phone survey...
December 22, 2023: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://read.qxmd.com/read/38107734/sella-turcica-size-in-women-with-sheehan-syndrome-a-case-control-study
#9
JOURNAL ARTICLE
Bashir Ahmad Laway, Atul Sharma, Naseer Ahmad Choh, Feroze Shaheen, Arshad Iqbal Wani
INTRODUCTION: Sheehan syndrome is a common cause of hypopituitarism in developing countries. Among risk factors, in addition to post-partum haemorrhage, a smaller sellar volume is also believed to predispose to pituitary necrosis. Some earlier studies have reported smaller sellar volume in these patients but involved a small number of patients and lacked matched controls. The main of the present study was to study the sellar volume in a large cohort of patients with Sheehan syndrome and compare it with age- and parity-matched controls...
2023: Indian Journal of Endocrinology and Metabolism
https://read.qxmd.com/read/38104195/treatment-of-schizophrenia-evaluated-via-the-pharmacopsychometric-triangle-an-integrative-approach-with-emphasis-on-well-being-and-functioning
#10
JOURNAL ARTICLE
Pernille Kølbæk, Ole Mors, Christoph U Correll, Søren D Østergaard
Quantification of treatment response is crucial to optimize outcomes for patients with schizophrenia. In this study, we evaluated the relationship between quantitative measures of clinician-rated symptom severity and self-rated side effects, well-being, and functioning among inpatients with schizophrenia using the six-item version of the Positive and Negative Syndrome Scale (PANSS-6), the Glasgow Antipsychotic Side-effect Scale (GASS), the WHO-Five Well-being Index (WHO-5), and the Sheehan Disability Scale (SDS)...
December 16, 2023: Schizophrenia (Heidelb)
https://read.qxmd.com/read/38103900/asymptomatic-trigger-of-adrenal-crisis-in-a-patient-with-sheehan-syndrome-importance-of-timely-recognition-and-intervention
#11
JOURNAL ARTICLE
Andrew Charles Willett, Emily Hartman, Natasha Chandler, Julianna Brown
Our patient is a female in her 70s who initially presented following an episode of bowel and bladder incontinence, as well as unresponsiveness. Her family denied any preceding illness or sick symptoms. During her workup, it was noted that she was wearing a medical bracelet, which listed prednisone as one of her daily medications, raising concern for an acute adrenal crisis (AC). Ultimately, our patient's condition improved with high-dose intravenous steroids before being tapered to her home regimen. Current literature highlights the pathophysiological complexity of an AC but fails to identify clear risk factors that trigger such events, especially in asymptomatic patients...
December 16, 2023: BMJ Case Reports
https://read.qxmd.com/read/38020353/intra-uterine-packing-an-effective-and-affordable-tool-in-the-management-of-post-partum-hemorrhage-cohort-study
#12
JOURNAL ARTICLE
Ahmed Halouani, Yassine Masmoudi, Aymen Hammami, Hafedh Abbassi, Amel Triki, Anissa Ben Amor
INTRODUCTION: postpartum hemorrhage is the main cause of maternal death worldwide. Uterine balloon packing has shown promising outcomes in PPH management. Nevertheless, its usage is limited in low- and middle-income countries due to associated costs. Uterine packing using gauzes presents a potentially efficient and cost-effective alternative. This study aims to assess the safety and efficacy of intra-uterine packing with gauzes in managing postpartum hemorrhage. METHODS: this was a retrospective study over a period of two years and six months...
2023: Pan African Medical Journal
https://read.qxmd.com/read/38013549/allotriophagy-and-allotriodipsia-in-endocrinology
#13
JOURNAL ARTICLE
Sanjay Kalra, Avivar Awasthi, Saurabh Arora, Nitin Kapoor
Allotriophagy is defined as food cravings that are different from the expected or the norm. It gives clinical pointers to an underlying diagnosis. We propose a new term, allotriodipsia which suggests a preference for beverages that are different from the norm. Taken together, these two entities may point towards certain endocrinological abnormalities and iatrogenic sequelae. In this communication we highlight the clinical relevance of allotriophagy and allotriodipsia.
November 2023: JPMA. the Journal of the Pakistan Medical Association
https://read.qxmd.com/read/37996133/sheehan-s-syndrome-presenting-as-massive-pericardial-effusion-ventricular-tachycardia-and-diabetes-insipidus
#14
JOURNAL ARTICLE
Ahmad Alam, Hamid Ashraf, Azharuddin Mohammad Malik, Razeen Fatima
Sheehan's syndrome (SS) is characterised by pituitary necrosis resulting from postpartum haemorrhage. While SS is uncommon in developed nations, it remains a prevalent cause of hypopituitarism in women, particularly in low/middle-income countries. Clinically, SS is characterised by a deficiency in anterior pituitary hormones; involvement of the posterior pituitary is less common. SS presenting as cardiac tamponade is rare, with only a few reported cases in the literature. In this report, we present the case of a patient with SS who arrived at the emergency department with symptoms of light-headedness, palpitations and dyspnoea...
November 23, 2023: BMJ Case Reports
https://read.qxmd.com/read/37986644/postpartum-acute-adrenal-insufficiency-of-early-onset-sheehan-syndrome-a-case-series-study-in-a-single-center
#15
JOURNAL ARTICLE
Shota Ishikawa, Hiroshi Ishikawa, Mika Sato, Akiko Nagasawa, Yoshiya Suzuki, Jun Okayama, Emiri Nakada, Akiko Omoto, Makio Shozu, Kaori Koga
AIM: To identify the symptoms and relevant factors associated with acute adrenal insufficiency of early-onset Sheehan syndrome. METHODS: We retrospectively reviewed the charts of 125 women admitted to our intensive care unit because of postpartum hemorrhage between January 2011 and December 2021. Three women developed acute adrenal insufficiency. We investigated the total blood loss, shock status, consciousness level upon arrival, and intensive care provided to the women...
November 20, 2023: Journal of Obstetrics and Gynaecology Research
https://read.qxmd.com/read/37927363/sheehan-s-syndrome-unveiled-after-decades-without-a-diagnosis-a-case-report
#16
Hadi Rabee', Tamara Braik, Rezeq Alnatour, Alaa Shamlawi, Ammar Rashed
Sheehan's syndrome is defined as a postpartum infarction of the pituitary gland following hypovolemic shock due to obstetric hemorrhage. Sheehan's syndrome's symptoms are often subtle, and hence it is often overlooked. In this report, we discuss a case of an 82-year-old woman who developed severe postpartum hemorrhage after her last childbirth at the age of 37, which required multiple blood transfusions. Since then, she had progressively developed malaise and lastly presented with a new onset of confusion. Basic laboratory tests detected poorly controlled hypothyroidism and severe hyponatremia, which are well-known late-presenting conditions of Sheehan's syndrome...
2023: SAGE Open Medical Case Reports
https://read.qxmd.com/read/37916020/sheehan-s-syndrome-in-india-clinical-characteristics-and-laboratory-evaluation
#17
JOURNAL ARTICLE
Prabhat Agrawal, Ruchika Garg, Mohita Agrawal, Manish Kumar Singh, Urvashi Verma, Richa Chauhan
BACKGROUND: Sheehan's Syndrome (SS) is an important cause of hypopituitarism especially in developing countries though it remains underdiagnosed to a great extent. Torrential bleeding after delivery followed by lactation failure and amenorrhoea gives a clue to the diagnosis which is usually made after several years of delivery. MATERIALS AND METHODS: It was a retrospective observational study conducted by reviewing the case records of 38 cases of SS. The age, anthropometric measurements, signs and symptoms, biochemical parameters, hormone levels and imaging reports were examined and analyzed...
October 2023: Journal of Obstetrics and Gynaecology of India
https://read.qxmd.com/read/37772209/adrenal-crisis-in-a-delayed-diagnosis-of-sheehan-syndrome
#18
Patrick Powers, Kathryn Jan, Deepak Bommisetty
Sheehan syndrome is a well-documented endocrinological disorder that appears to be closely associated as a secondary sequela to postpartum hemorrhage. Due to pregnancy-related physiological adaptations, namely the increase in blood volume but lack of hypertrophic or hyperplastic growth within the pituitary, pregnancy increases the likelihood of infarction of the pituitary. This, coupled with other complications, such as postpartum hemorrhage, can lead to ischemia and permanent damage to the pituitary, and thus, all the downstream endocrinological pathways regulated by the pituitary...
August 2023: Curēus
https://read.qxmd.com/read/37738831/from-acute-abdomen-to-hormonal-crisis-case-report-on-a-long-delayed-sheehan-s-syndrome-diagnosis
#19
Maham Leeza Adil, Mahrukh Alvi, Aqsa Khan, Shan Mohammad Mustafa Qaiser, Muhammad Osman, Muhammad Nauman Bashir
INTRODUCTION: Sheehan's syndrome (SS) is a rare cause of hypopituitarism resulting from postpartum haemorrhage and pituitary necrosis. It remains an underdiagnosed condition, especially in developing countries due to poor obstetric care and home deliveries. This case report highlights the significance of recognizing atypical presentations of SS, such as pancytopenia, to aid in early diagnosis and management. CASE PRESENTATION: A 40-year-old female presented with acute abdomen symptoms and was initially diagnosed with acalculous cholecystitis...
October 2023: International Journal of Surgery Case Reports
https://read.qxmd.com/read/37704550/unusual-and-lesser-known-rare-causes-of-adult-growth-hormone-deficiency
#20
REVIEW
Liza Das, Pinaki Dutta
Growth hormone is among the most common hormones to be deficient in pituitary insult. It can occur either in isolation or combined with other hormone deficiencies. Growth hormone deficiency in adults (AGHD) can be due to causes acquired in adulthood or have a childhood-onset etiology, but the former is about three times more common. Usual causes of AGHD include mass effects due to a pituitary tumour, and/or its treatment (surgery, medical therapy, or radiotherapy), or radiotherapy to the head and neck region for non-pituitary lesions...
August 28, 2023: Best Practice & Research. Clinical Endocrinology & Metabolism
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