title: Sheehan's syndrome presenting as psychosis: a rare clinical presentation.
abstract: Sheehan's syndrome (SS) refers to the occurrence of varying degree of hypopituitarism after parturition (1). It is a rare cause of hypopituitarism in developed countries owing to advances in obstetric care and its frequency is decreasing worldwide. However, it is still frequent in underdeveloped and developing countries. Sheehan's syndrome is often diagnosed late as it evolves slowly (2,3). Reports of psychoses in patients with Sheehan's syndrome are rare. Herein, a case report of psychosis in a 31 year old woman who developed Sheehan's syndrome preceded by postpartum haemorrhage is presented. Treatment with thyroxine and glucocorticoids resulted in complete remission after attaining euthyroid and eucortisolemic state.
authors.affiliation: MBBS, Post Graduate scholar, Department of Psychiatry, Government Psychiatry Disease Hospital, Srinagar, Jammu and Kashmir, India.
authors.forename: Sheikh
authors.initials: S
authors.lastname: Shoib
authors.forename: Mohamand Maqbool
authors.initials: MM
authors.lastname: Dar
authors.forename: Tasleem
authors.initials: T
authors.lastname: Arif
authors.forename: Haamid
authors.initials: H
authors.lastname: Bashir
authors.forename: Mohammad Hayat
authors.initials: MH
authors.lastname: Bhat
authors.forename: Javid
authors.initials: J
authors.lastname: Ahmed
keywords: Hypopituitarism; Psychosis; Sheehan's syndrome; Thyroxine