[Post-partum autoimmune thyroiditis in a patient presenting with Sheehan's syndrome]

Ann Endocrinol (Paris). 2002 Jun;63(3):223-5.
[Article in French]

Abstract

A 30-year-old women developed post-partum thyroiditis associated with post- partum pituitary infarction. Pituitary stimulation tests demonstrated global pituitary deficiency but there was no thyrotropin response to TRH stimulation and free T4 was normal. Associated goiter and high circulating levels of microsomal antibodies led to the diagnosis of post-partum thyroiditis associated with pituitary deficiency. Two cases of this unusual association have been reported. The underlying pathogenesis might involve post-partum immunological rebound and/or hypocorticism-induced immunological disorders.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Glucocorticoids / therapeutic use
  • Gonadotropin-Releasing Hormone
  • Humans
  • Hypopituitarism / complications*
  • Infarction
  • Pituitary Gland / blood supply
  • Puerperal Disorders*
  • Thyroiditis, Autoimmune / etiology*
  • Thyroiditis, Autoimmune / therapy
  • Thyrotropin / metabolism
  • Thyrotropin-Releasing Hormone

Substances

  • Glucocorticoids
  • Gonadotropin-Releasing Hormone
  • Thyrotropin-Releasing Hormone
  • Thyrotropin