Pituitary & hypothalamus

Clinical Characteristics, and Prevalence of Hepatic and Bone Mineral Density Abnormalities in Patients With Sheehan Syndrome: Data From a Tertiary Care Center

Endocr PractPublished Case-control study

Authors' conclusion

Patients with SS had a lower sella turcica volume than controls. Additionally, 90% of patients had osteoporosis or osteopenia, and many also had hepatic steatosis or fibrosis.

Study context

Population
Patients with Sheehan syndrome (postpartum pituitary necrosis) and healthy controls, tertiary care center
Comparison
Sheehan syndrome vs healthy controls
  • Sheehan syndrome (SS)n = 50
Outcome
Clinical profile of SS, sella turcica volume, liver fat and BMD
Methodological detailssingle tertiary care centre
  • Single tertiary care centre

Main finding

As reported in the abstract

Sella turcica volume

P ≤ 0.01

Observational data: associations, not effects.

Further findings

Age

P = 0.55

BMI

P = 0.86

Clinical features and pituitary hormone deficiencies in SS

Lactational failure
88%
Secondary amenorrhea
96%
GH deficiency
94%
Hypogonadism
96%
Thyrotroph failure
96%
Corticotroph failure
92%

Hepatic steatosis and fibrosis in SS

Mild steatosis
4%
Moderate steatosis
8%
Severe steatosis
12%
Mild fibrosis
10%
Moderate fibrosis
4%
Severe fibrosis
0

BMD abnormalities in SS

Osteopenia
30%
Osteoporosis
60%

Original publication

Clinical Characteristics, and Prevalence of Hepatic and Bone Mineral Density Abnormalities in Patients With Sheehan Syndrome: Data From a Tertiary Care Center. Endocr Pract. Published 17 December 2024. doi:10.1016/j.eprac.2024.12.008

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