{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T12:36:23Z","timestamp":1773146183968,"version":"3.50.1"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"published-print":{"date-parts":[[2010]]},"abstract":"<jats:p>Sheehan\u2019s syndrome, first described in 1937, is characterised by postpartum haemorrhage, pituitary necrosis, lactational failure and hypopitutarism. Presentation is variable and late presentations are not unusual due to partial ischaemic injury of the pituitary and gradual loss of endocrine function. A history of postpartum haemorrhage is usual but in some cases it is not elicited. Presentations such as malaise, fatigue, hypoglycaemia, decline in cognition, hyponatraemia, pancytopoenia, osteoporosis, secondary infertility, confusion and coma have all been reported. Two interesting cases of Sheehan\u2019s syndrome are presented that were diagnosed in the eighth decade; one due to atypical presentation of recurrent hyponatraemia and confusion, another from hypoglycaemic coma and symptoms of malaise and lethargy.<\/jats:p>","DOI":"10.1136\/bcr.09.2009.2276","type":"journal-article","created":{"date-parts":[[2010,5,6]],"date-time":"2010-05-06T06:01:13Z","timestamp":1273125673000},"page":"bcr0920092276","source":"Crossref","is-referenced-by-count":2,"title":["Practice of symptomatic treatment in the era of evidence-based medicine: report of 2 cases of diagnosis of Sheehan\u2019s syndrome delayed till eighth decade"],"prefix":"10.1136","volume":"2010","author":[{"given":"Abdul Majid","family":"Wani","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Waleed Mohd","family":"Hussain","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mousa Ali Al","family":"Mejally","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulhakeem Amroon","family":"Banjar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khaled Shawkat","family":"Ali","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amer Mohd","family":"Khoujah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sadeya Hanif","family":"Raja","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mazen G","family":"Bafaraj","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wail Al","family":"Miamini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mubeena","family":"Akhtar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2010,5,6]]},"reference":[{"key":"2025082623512954000_2010.may06_1.bcr0920092276.1","doi-asserted-by":"publisher","DOI":"10.1023\/B:PITU.0000023425.20854.8e"},{"key":"2025082623512954000_2010.may06_1.bcr0920092276.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2005.02.022"},{"key":"2025082623512954000_2010.may06_1.bcr0920092276.3","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2001-020242"},{"key":"2025082623512954000_2010.may06_1.bcr0920092276.4","doi-asserted-by":"publisher","DOI":"10.1080\/09513590600630504"},{"key":"2025082623512954000_2010.may06_1.bcr0920092276.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-2115(03)00117-9"},{"key":"2025082623512954000_2010.may06_1.bcr0920092276.6","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1007\/BF03324902","article-title":"Hypopituitarism in the elderly: two case-reports with heterogeneous presentation","volume":"21","author":"Foppiani","year":"2009","journal-title":"Aging Clin Exp Res"},{"key":"2025082623512954000_2010.may06_1.bcr0920092276.7","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1111\/j.1468-3083.2006.01898.x","article-title":"The effects of severe growth hormone deficiency on the skin of patients with Sheehan\u2019s syndrome","volume":"21","author":"Borlu","year":"2007","journal-title":"J Eur Acad Dermatol Venereol"},{"key":"2025082623512954000_2010.may06_1.bcr0920092276.8","first-page":"32","article-title":"Hypopituitarism in older adults. 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