Challenge: What's the diagnosis?Image shown under fair use.
Monday, May 12, 2008
Post-Partum
A 30 year old G1P1 who gave birth to a healthy baby boy two days ago presents with lethargy, anorexia, weight loss, and inability to lactate. The course of pregnancy was prolonged, and multiple units of blood were given. If the tissue in question were to be examined histologically, this would be seen:
Challenge: What's the diagnosis?
Image shown under fair use.
Challenge: What's the diagnosis?Image shown under fair use.
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3 comments:
sheehan's syndrome?
Don't scare me like this! I think it's Sheehan syndrome/postpartum hypopituitarism
Post-Partum
This is Sheehan syndrome, pituitary infarction after postpartum hemorrhage which can lead to hypopituitarism. This may be due to massive growth of the pituitary during pregnancy, leading to susceptibility to ischemia. The histology shows “ghost architecture and acellular area of infarction.”
Sources: UpToDate; pathology.vcu.edu.
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