title: Diagnosis Delayed but not Denied - Sheehan's syndrome.
abstract: Sheehan's syndrome is a rare complication of postpartum hemorrhage. With advancement in obstetric care, Sheehan's syndrome has become uncommon except in developing countries. Here, we report a patient with Sheehan's syndrome who escaped diagnosis for 22 years and presented with life threatening complications. This patient also had certain unusual features of Sheehan's syndrome like pancytopenia and renal failure. A high index of suspicion is necessary in diagnosing such patients.
authors.affiliation: Department of Medicine, MS Ramaiah Medical College, Bangalore, Karnataka, India.
authors.forename: V
authors.initials: V
authors.lastname: Thyagaraj
authors.affiliation: St. Joseph Hospital, Dindigul, Tamil Nadu, India.
authors.forename: M J V
authors.initials: MJ
authors.lastname: Kumar
mesh_terms: D000328:Adult; D057210:Delayed Diagnosis; D003937:Diagnosis, Differential; D005260:Female; D020249:Hormone Replacement Therapy / Q000379:methods; D006801:Humans; D007018:Hypopituitarism / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D010198:Pancytopenia / Q000175:diagnosis; D011788:Quality of Life; D051437:Renal Insufficiency / Q000175:diagnosis; D016896:Treatment Outcome
keywords: pancytopenia; renal failure; Sheehan syndrome.