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Joon Jin  (Jin J) 1 Article
Clinical Study
Electrolyte Imbalance in Patients with Sheehan's Syndrome
Chur Hoan Lim, Ji Hyun Han, Joon Jin, Ji Eun Yu, Jin Ook Chung, Dong Hyeok Cho, Dong Jin Chung, Min Young Chung
Endocrinol Metab. 2015;30(4):502-508.   Published online December 31, 2015
DOI: https://doi.org/10.3803/EnM.2015.30.4.502
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  • 6 Citations
AbstractAbstract PDFPubReader   
Background

We investigated the prevalence of electrolyte imbalance and the relationship between serum electrolyte and anterior pituitary hormone levels in patients with Sheehan's syndrome.

Methods

In a retrospective study, we investigated 78 patients with Sheehan's syndrome. We also included 95 normal control subjects who underwent a combined anterior pituitary hormone stimulation test and showed normal hormonal responses.

Results

In patients with Sheehan's syndrome, the serum levels of sodium, potassium, ionized calcium, magnesium, and inorganic phosphate were significantly lower than those in control subjects. The prevalence of hyponatremia, hypokalemia, hypocalcemia, hypomagnesemia, and hypophosphatemia in patients with Sheehan's syndrome was 59.0% (n=46), 26.9% (n=21), 35.9% (n=28), 47.4% (n=37), and 23.1% (n=18), respectively. Levels of sodium and ionized calcium in serum were positively correlated with levels of all anterior pituitary hormones (all P<0.05). Levels of potassium in serum were positively correlated with adrenocorticotrophic hormone (ACTH) and growth hormone (GH) levels (all P<0.05). Levels of inorganic phosphate in serum were positively correlated with levels of thyroid-stimulating hormone, prolactin, and GH (all P<0.05), and levels of magnesium in serum were positively correlated with delta ACTH (P<0.01).

Conclusion

Electrolyte imbalance was common in patients with Sheehan's syndrome. Furthermore, the degree of anterior pituitary hormone deficiency relates to the degree of electrolyte disturbance in patients with this disease.

Citations

Citations to this article as recorded by  
  • Myopathic syndrome revealing a rare condition: Sheehan syndrome, a case-based review
    Elena Gradinaru, Catalin Furculescu, Andreea Trandafir, Daniela Opris-Belinski, Ioana Cristina Saulescu
    Clinical Rheumatology.2023; 42(6): 1705.     CrossRef
  • Partial Sheehan’s syndrome with abdominal tuberculosis presented with pancytopenia and fluctuating thyroid profile: a case report
    Prashant Yadav, Md Anwarul Bari, Akash Saha, Sushmita Yadav, Amzad H. Khan
    Annals of Medicine & Surgery.2023; 85(3): 548.     CrossRef
  • Long-term hepatic and cardiac health in patients diagnosed with Sheehan’s syndrome
    Liza Das, Jayaprakash Sahoo, Neelam Dahiya, Sunil Taneja, Sanjay Kumar Bhadada, Mohammad Hayat Bhat, Paramjeet Singh, Vanita Suri, Bashir Ahmad Laway, Pinaki Dutta
    Pituitary.2022; 25(6): 971.     CrossRef
  • Clinical, endocrine, metabolic profile, and bone health in Sheehan's syndrome
    Soumita Mandal, Pradip Mukhopadhyay, Mainak Banerjee, Sujoy Ghosh
    Indian Journal of Endocrinology and Metabolism.2020; 24(4): 338.     CrossRef
  • A rare endocrine cause of electrical storm - a case report
    Sunny D Shinde, Girish R Sabnis, Charan P Lanjewar, Prafulla G Kerkar
    European Heart Journal - Case Reports.2017;[Epub]     CrossRef
  • Sheehan syndrome
    Züleyha Karaca, Bashir A. Laway, Hatice S. Dokmetas, Hulusi Atmaca, Fahrettin Kelestimur
    Nature Reviews Disease Primers.2016;[Epub]     CrossRef
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