title: Isolated adrenocorticotropic hormone deficiency with antepartum pituitary infarction in a type I diabetic.
abstract: Isolated adrenocorticotropic hormone (ACTH) deficiency was documented after cesarean delivery in a patient with type I diabetes. A preceding severe headache, subsequent declining insulin requirements, and hypotension are consistent with pituitary infarction in a patient without computed tomography evidence of a pituitary tumor. Antepartum incomplete pituitary infarction with isolated ACTH deficiency is an unusual but potentially catastrophic complication of the pregnant diabetic.
authors.forename: R G
authors.initials: RG
authors.lastname: Wieland
authors.forename: J M
authors.initials: JM
authors.lastname: Wieland
mesh_terms: D000324:Adrenocorticotropic Hormone / Q000172:deficiency*; D000328:Adult; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000150:complications*; D005260:Female; D006728:Hormones / Q000097:blood; D006801:Humans; D007238:Infarction / Q000150:complications*; D010902:Pituitary Gland / Q000098:blood supply* / Q000000981:diagnostic imaging; D011247:Pregnancy; D011254:Pregnancy in Diabetics / Q000097:blood / Q000150:complications*; D014057:Tomography, X-Ray Computed
chemical_list: D006728:Hormones; D000324:Adrenocorticotropic Hormone