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Recurrent hypoglycaemia and dilated cardiomyopathy: delayed presentation of Sheehan’s syndrome
  1. Archita Makharia,
  2. Manoj Lakhotia,
  3. Vineet Tiwari and
  4. Kishan Gopal
  1. General Medicine, Dr Sampurnanand Medical College, Jodhpur, Rajasthan, India
  1. Correspondence to Dr Archita Makharia; archita.makharia{at}


Sheehan’s syndrome (SS) is ischaemic necrosis of the pituitary gland due to massive postpartum haemorrhage. The clinical manifestations may vary from subtle to life-threatening and may present immediately after delivery or many years later. We present a case history of a 58-year-old non-diabetic woman who had undetected SS and presented with two unusual manifestations, including recurrent hypoglycaemia and dilated cardiomyopathy 34 years after delivery. The dilated cardiomyopathy reversed partially after treatment.

  • pituitary disorders
  • heart failure
  • pregnancy
  • thyroid disease

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  • Contributors AM has searched the literature and drafted the manuscript, ML has reviewed the manuscript and is the guarantor, VT has given the intellectual content and KG has searched the literature.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer-reviewed.