title: A case of Sheehan's syndrome that manifested as bilateral ptosis.
abstract: Hypothyroidism can cause a variety of signs and symptoms of the neuromuscular system. However, ptosis in a patient with hypothyroidism is very rare. We report here on a case of central hypothyroidism that was due to Sheehan's syndrome and it manifested as bilateral ptosis in a 51-yr-old woman. She complained of exertional dyspnea and weakness. About 25-yr ago, she had a history of severe postpartum vaginal bleeding. The laboratory studies demonstrated hypopituitarism with secondary hypothyroidism. The ptosis was improved by replacement of thyroid hormone. Hypothyroidism should be considered in the differential diagnosis of patients who manifest with ptosis and that prompt replacement of hormone can lead to a complete recovery.
authors.affiliation: Department of Internal Medicine, College of Medicine, Dongguk University, 307 Dongdae-ro, Gyeongju, Korea. ysbae28@medimail.co.kr
authors.forename: Young Sil
authors.initials: YS
authors.lastname: Lee
authors.forename: Seong Su
authors.initials: SS
authors.lastname: Moon
mesh_terms: D001763:Blepharoptosis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D004576:Electromyography; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007018:Hypopituitarism / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D007037:Hypothyroidism / Q000150:complications; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009135:Muscular Diseases / Q000209:etiology; D009469:Neuromuscular Junction / Q000503:physiopathology; D011239:Prednisolone / Q000627:therapeutic use; D013974:Thyroxine / Q000627:therapeutic use
chemical_list: D005938:Glucocorticoids; D011239:Prednisolone; D013974:Thyroxine