{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:02:42Z","timestamp":1756382562255},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"811","license":[{"start":{"date-parts":[[1993,5,1]],"date-time":"1993-05-01T00:00:00Z","timestamp":736214400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1993,5,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>Three women in late middle age had recurrent episodes of confusion which could not be explained solely on the basis of an associated infection. All three patients had latent hypopituitarism diagnosed on final presentation. Each patient had a previous history of a severe postpartum haemorrhage followed by two further pregnancies.<\/jats:p>\n               <jats:p>Experienced clinicians had not made a diagnosis of confusional episodes due to hypopituitary encephalopathy because the history was not immediately available in the confused patient, and the significance of deficient axillary and pubic hair was not given due emphasis.<\/jats:p>","DOI":"10.1136\/pgmj.69.811.392","type":"journal-article","created":{"date-parts":[[2008,12,29]],"date-time":"2008-12-29T21:25:21Z","timestamp":1230585921000},"page":"392-394","source":"Crossref","is-referenced-by-count":2,"title":["Recurrent confusion and hypopituitarism"],"prefix":"10.1093","volume":"69","author":[{"given":"N J","family":"Gutowski","sequence":"first","affiliation":[{"name":"Department of Neurology, North Staffordshire Royal Infirmary , Princes Road, Hartshill, Stoke-on-Trent ST4 7LN, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J R","family":"Heron","sequence":"additional","affiliation":[{"name":"Department of Neurology, North Staffordshire Royal Infirmary , Princes Road, Hartshill, Stoke-on-Trent ST4 7LN, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1993,5,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1136\/jnnp.33.2.192","article-title":"Hypopituitarism (Sheehan's syndrome) presenting with organic psychosis","volume":"33","author":"Hanna, S.M.","year":"1970","unstructured":"Hanna, S.M. Hypopituitarism (Sheehan's syndrome) presenting with organic psychosis. JNeurol Neurosurg Psychiat 1970, 33: 192-193.","journal-title":"JNeurol Neurosurg Psychiat"},{"issue":"1","key":"ref_2","first-page":"132","article-title":"Recoverable organic psychosis after hypopituitary coma","volume":"1976","author":"Parker, R.R.; Isaacs, A.D.; McKerron, C.G.","unstructured":"Parker, R.R., Isaacs, A.D. & McKerron, C.G. Recoverable organic psychosis after hypopituitary coma. Br MedJ 1976, 1: 132-133.","journal-title":"Br MedJ"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1111\/j.1532-5415.1989.tb01568.x","article-title":"Cortisol deficient state. A cause of reversible cognitive impairment and delirium in the elderly","volume":"37","author":"Basavaraju, N.; Phillips, S.L.","year":"1989","unstructured":"Basavaraju, N. & Phillips, S.L. Cortisol deficient state. A cause of reversible cognitive impairment and delirium in the elderly. J Am Geriatr Soc 1989, 37: 49-51.","journal-title":"J Am Geriatr Soc"},{"issue":"18","key":"ref_4","first-page":"89","article-title":"Hypopituitarism presenting as delirium","volume":"1988","author":"Khanna, S.; Ammini, A.; Saxena, S.; Mohan, D.","unstructured":"Khanna, S., Ammini, A., Saxena, S. & Mohan, D. Hypopituitarism presenting as delirium. Int J Psychiat Med 1988, 18: 89-92.","journal-title":"Int J Psychiat Med"},{"key":"ref_5","first-page":"1","article-title":"Anterior pituitary","volume-title":"Fundamentals of Clinical Endocrinology","author":"Besser, G.M.","year":"1989","unstructured":"Besser, G.M. Anterior pituitary. In: Hall, R. & Besser, G.M. (eds) Fundamentals of Clinical Endocrinology. Churchill Livingstone, Edinburgh, 1989, pp. 1-30."}],"container-title":["Postgraduate Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/69\/811\/392\/50072798\/postgradmedj-69-392.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/69\/811\/392\/50072798\/postgradmedj-69-392.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,27]],"date-time":"2023-04-27T13:35:31Z","timestamp":1682602531000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/pmj\/article\/69\/811\/392\/7062864"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1993,5,1]]},"references-count":5,"journal-issue":{"issue":"811","published-online":{"date-parts":[[1993,5,1]]},"published-print":{"date-parts":[[1993,5,1]]}},"URL":"https:\/\/doi.org\/10.1136\/pgmj.69.811.392","relation":{},"ISSN":["0032-5473","1469-0756"],"issn-type":[{"value":"0032-5473","type":"print"},{"value":"1469-0756","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1993,5]]},"published":{"date-parts":[[1993,5,1]]}}}