title: Inappropriate secretion of antidiuretic hormone in Sheehan's syndrome: a rare cause of postpartum hyponatremia.
abstract: A 27-year-old woman experienced hemorrhagic shock after delivery. One week later she was seen in an obtunded state of consciousness. The results of laboratory evaluation were consistent with the syndrome of inappropriate antidiuretic hormone secretion caused by hypopituitarism. Hydrocortisone rapidly corrected sodium levels. Syndrome of inappropriate secretion of antidiuretic hormone caused by Sheehan's syndrome should be considered in the differential diagnosis of postpartum hyponatremia.
authors.affiliation: Department of Internal Medicine A, Hadassah University Hospital, Jerusalem, Israel.
authors.forename: C
authors.initials: C
authors.lastname: Putterman
authors.forename: Y
authors.initials: Y
authors.lastname: Almog
authors.forename: Y
authors.initials: Y
authors.lastname: Caraco
authors.forename: D J
authors.initials: DJ
authors.lastname: Gross
authors.forename: E
authors.initials: E
authors.lastname: Ben-Chetrit
mesh_terms: D000328:Adult; D004967:Estrogens / Q000627:therapeutic use; D005260:Female; D005640:Follicle Stimulating Hormone / Q000097:blood; D005665:Furosemide / Q000627:therapeutic use; D013006:Growth Hormone / Q000097:blood; D006801:Humans; D006854:Hydrocortisone / Q000097:blood; D007010:Hyponatremia / Q000209:etiology*; D007018:Hypopituitarism / Q000150:complications / Q000188:drug therapy / Q000378:metabolism*; D007177:Inappropriate ADH Syndrome / Q000378:metabolism*; D007986:Luteinizing Hormone / Q000097:blood; D010902:Pituitary Gland / Q000000981:diagnostic imaging / Q000378:metabolism; D049590:Postpartum Period; D011374:Progesterone / Q000627:therapeutic use; D011388:Prolactin / Q000097:blood; D011877:Radionuclide Imaging; D012964:Sodium / Q000097:blood / Q000652:urine; D013972:Thyrotropin / Q000097:blood; D013974:Thyroxine / Q000627:therapeutic use
chemical_list: D004967:Estrogens; D011374:Progesterone; D005665:Furosemide; D011388:Prolactin; D007986:Luteinizing Hormone; D005640:Follicle Stimulating Hormone; D013972:Thyrotropin; D013006:Growth Hormone; D012964:Sodium; D013974:Thyroxine; D006854:Hydrocortisone