Bala, M. and Bruennler, T. and Guralnik, V. and Schoelmerich, J. and Schaeffler, A. (2009) A 36-year old female patient presenting with hypoglycemic coma. INTERNIST, 50 (5). 606-+. ISSN 0020-9554, 1432-1289
Full text not available from this repository. (Request a copy)Abstract
A 36-year-old female was admitted to the emergency department with a hypoglycemic shock of unknown origin. Initial diagnostic procedures could exclude diabetes mellitus, postprandial hypoglycemia, insulinoma, tumor, drug side effects, and exogenous insulin application. Detailed evaluation of the patient's history revealed that the patient had not been able to lactate after an uncomplicated pregnancy and delivery 3 years ago. Endocrinological evaluation showed a complete adrenocorticotropic insufficiency caused by a Sheehan syndrome. Concomitantly, an empty sella syndrome was visible in MRI. Even after an uncomplicated delivery and even with normal laboratory values, Sheehan-Syndrome can become manifest in a hypoglycemic shock due to hypopituitarism with insufficiency of the adrenocorticotropic axis.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | SHEEHAN-SYNDROME; HYPOPITUITARISM; SELLA; Sheehan-Syndrome; Hypopituitarism; Hypoglycemia; Empty sella syndrome; Adrenal insufficiency |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Innere Medizin I |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 16 Sep 2020 11:24 |
| Last Modified: | 16 Sep 2020 11:24 |
| URI: | https://pred.uni-regensburg.de/id/eprint/29055 |
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