분만 직후 나타난 쉬한증후군으로 인한 급성 부신기능저하
- 김미경; 김혜순; 박근규
- Alternative Author(s)
- Kim, Mi Kyung; Kim, Hye Soon; Park, Keun Gyu
- Issued Date
- Acute adrenal insufficiency; Sheehan’s syndrome
- Sheehan's syndrome is a postpartum hypopituitarism due to acute ischemic necrosis
of the anterior pituitary gland secondary to severe postpartum bleeding and shock. Generally; it is
diagnosed several months to years after the last delivery complicated with severe postpartum
bleeding. However; we experienced a case of abrupt onset Sheehan's syndrome with acute
adrenal insufficiency occurring 20 days after delivery with severe bleeding. Hormonal study
revealed decreased cortisol and growth hormone response to insulin-induced hypoglycemia. The
patient recovered dramatically with glucocorticoid replacement therapy.
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