Hikmat Permana
Divisi Endokrinologi, Metabolik dan Diabetes, Departemen Ilmu Penyakit Dalam, Fakultas Kedokteran Universitas Padjadjaran – Rumah Sakit Umum Pusat Dr. Hasan Sadikin Bandung, Indonesia

Published : 1 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 1 Documents
Search

Sindroma Sheehan dengan Hiponatremia Berulang, Miositis dan Amenorrhea Sekunder Luse Loe; Nanny Natalia Mulyani Soetedjo; Hikmat Permana
Majalah Kedokteran Indonesia Vol 71 No 4 (2021): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.71.4-2021-561

Abstract

Introduction: Sheehan syndrome may arise after giving birth, which is caused by reduced pituitary perfusion due to low blood pressure during or after parturition. It has varied and unspecific symptoms. Early diagnosis and treatment is important to prevent death. Case report: We reported a case of 39 years old female with recurring hyponatremia, myositis and secondary amenorrhea, which were consistent with sheehan syndrome.Discussion: Patient had history of severe postpartum bleeding. She presented with hyponatremia, hypokalemia, and hypokalemia. This electrolyte imbalance might be caused by anterior pituitary hormones deficit, possible posterior pituitary hormones deficit, disturbance of adrenocortical and estrogen hormone. Increased creatinine kinase showed myositis, and possibly caused by herbal medication or other condition.Conclusion: In this case, the patient was getting well after given adequate electrolyte and hormone replacement, without steroid administration.