Case Report

A Patient with Postpartum Hypopituitarism (Sheehan's Syndrome) Developed Postpartum Autoimmune Thyroiditis (Transient Thyrotoxicosis and Hypothyroidism): A Case Report and Review of the Literature

Table 2

Fasting blood hormone levels at 9:00 (6 months post partum)*.

Fasting hormone levels at 9:00(normal references)

ACTH pmol/L<0.4 (1.7–12.3)
Cortisol nmol/L<5.5 (110.4–504.9)
TSH mIU/L16.8 (0.4–4.20)
fT3 pmol/L [tT3 nmol/L]1.54 (3.54–6.62) [0.97 (1.23–2.46)]
fT4 pmol/L [tT4 nmol/L]1.42 (11.58–21.88) [12.9 (78.5–159.6)]
Prolactin pmol/L104 (266–1328)
GH μg/L1.0 (0.28–1.64)
IGF-1 μg/L112 (73–311)
LH IU/L0.7 (1.13–14.22)
FSH IU/L2.9 (1.47–8.49)
Progesterone nmol/L98.5 (4.07–98.8)
Estradiol pmol/L607.6 (165.2–1101.3)

*Oral hydrocortisone (HC) had been discontinued for 1 week before the study. fT3: free triiodothyronine, tT3: total triiodothyronine, fT4: free thyroxine, and tT4: total thyroxine.