The Experts below are selected from a list of 9 Experts worldwide ranked by ideXlab platform

R. D. Patell - One of the best experts on this subject based on the ideXlab platform.

  • An Unusual Association of Sheehans Syndrome with Pancy topenia
    2012
    Co-Authors: R. D. Patell
    Abstract:

    Sheehans Syndrome or postpartum pituitary necrosis is hypopituitarism, caused by necrosis due to blood loss and hypovolemic shock as a complication of pregnancy. W e describe a case of 45 year old woman with Sheehans Syndrome who presented with recurrent symptomatic hypoglycaemia and pancytopenia. Association of Sheehans Syndrome and pancytopenia is rare and to best of our knowledge only eight cases have been reported so far. The symptomatic treatment with levothyroxine, prednisolone, bisphosphonates, calcium and vitamin D cured her general symptoms, hypoglycemia and pancytopenia.

Ouazzani Mc - One of the best experts on this subject based on the ideXlab platform.

  • Amenorrhea in the postpartum
    2002
    Co-Authors: Alami A, Ouazzani Mc
    Abstract:

    This article discusses amenorrhea in the postpartum. This varies according to the length of maternal breastfeeding. In addition to ovulatory and anovulatory amenorrhea there are other specific types of amenorrhea. Ovulatory amenorrhea is rare and secondary to traumatic synechia or a pregnancy occurring before menstrual periods resume imaging examinations may confirm its presence. Anovulatory amenorrhea of pituitary origin results in amenorrhea with hyperprolactinemia requiring an anatomic assessment of the sella turcica a pituitary adenoma and amenorrhea with normal prolactin which are related to a hypothalmo-pituitary disorder aggravated by ovulation inhibitors or inducers. Amenorrhea of ovarian origin presents hot flashes associated with increased levels of FSH suggesting early menopause for which replacement therapy in indicated. The other types of this kind of amenorrhea include Sheehans Syndrome confirmed by biological examinations and suspected in a patient having undergone a hemorrhagic delivery and whose milk has not come in. Amenorrhea from postpartum psychoses constitutes a special case following an abnormality in regeneration of the endometrium with decidual elements which block the cyclical hypothalmo-pituitary-ovarian function it is overcome through therapeutic re-establishment of normal menstruation. In conclusion the authors suggest that it is absolutely essential to determine the etiology of the amenorrhea prior to any therapeutic prescription whose goal is to induce menstrual flow.

Tanseli Gönlügür - One of the best experts on this subject based on the ideXlab platform.

  • A rare cause of polyserositis: Delayed diagnosis of Sheehans Syndrome
    Society of TURAZ AKADEMI, 2018
    Co-Authors: Ugur Gonlugur, Tanseli Gönlügür
    Abstract:

    Polyserositis is a challenging differential diagnosis. We present a case of severe serositis in a 51-year-old Caucasian woman complicated by pericardial, peritoneal and pleural exudates in the setting of panhypopituitarism and no other obvious etiology. The patient had obtundation, pretibial edema, anemia, hyponatremia, and high levels of CA 125. Low levels of TSH, free T3 and free T4 suggested central hypothyroidism. Decreased levels of morning cortisol, growth hormone, and gonadotropins indicated panhypopituitarism. The patient reported cessation of menses after her last delivery approximately 20 years ago. To our knowledge, this is the first reported case of panhypopituitarism presenting with polyserositis. [Med-Science 2018; 7(3.000): 701-3

Alami A - One of the best experts on this subject based on the ideXlab platform.

  • Amenorrhea in the postpartum
    2002
    Co-Authors: Alami A, Ouazzani Mc
    Abstract:

    This article discusses amenorrhea in the postpartum. This varies according to the length of maternal breastfeeding. In addition to ovulatory and anovulatory amenorrhea there are other specific types of amenorrhea. Ovulatory amenorrhea is rare and secondary to traumatic synechia or a pregnancy occurring before menstrual periods resume imaging examinations may confirm its presence. Anovulatory amenorrhea of pituitary origin results in amenorrhea with hyperprolactinemia requiring an anatomic assessment of the sella turcica a pituitary adenoma and amenorrhea with normal prolactin which are related to a hypothalmo-pituitary disorder aggravated by ovulation inhibitors or inducers. Amenorrhea of ovarian origin presents hot flashes associated with increased levels of FSH suggesting early menopause for which replacement therapy in indicated. The other types of this kind of amenorrhea include Sheehans Syndrome confirmed by biological examinations and suspected in a patient having undergone a hemorrhagic delivery and whose milk has not come in. Amenorrhea from postpartum psychoses constitutes a special case following an abnormality in regeneration of the endometrium with decidual elements which block the cyclical hypothalmo-pituitary-ovarian function it is overcome through therapeutic re-establishment of normal menstruation. In conclusion the authors suggest that it is absolutely essential to determine the etiology of the amenorrhea prior to any therapeutic prescription whose goal is to induce menstrual flow.

Ugur Gonlugur - One of the best experts on this subject based on the ideXlab platform.

  • A rare cause of polyserositis: Delayed diagnosis of Sheehans Syndrome
    Society of TURAZ AKADEMI, 2018
    Co-Authors: Ugur Gonlugur, Tanseli Gönlügür
    Abstract:

    Polyserositis is a challenging differential diagnosis. We present a case of severe serositis in a 51-year-old Caucasian woman complicated by pericardial, peritoneal and pleural exudates in the setting of panhypopituitarism and no other obvious etiology. The patient had obtundation, pretibial edema, anemia, hyponatremia, and high levels of CA 125. Low levels of TSH, free T3 and free T4 suggested central hypothyroidism. Decreased levels of morning cortisol, growth hormone, and gonadotropins indicated panhypopituitarism. The patient reported cessation of menses after her last delivery approximately 20 years ago. To our knowledge, this is the first reported case of panhypopituitarism presenting with polyserositis. [Med-Science 2018; 7(3.000): 701-3