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 4

Postpartum hypopituitarism (Sheehan’s syndrome: SS) and postpartum autoimmune thyroiditis (PPAT): a review of the literature.

Case	Age, yr	Nationality	ATA*	Thyroid state**	Publication year	Reference
Case  1	38	Japanese	Positive	Thyrotoxicosis	1992	[12]
“Simultaneous occurrence of postpartum hypopituitarism (Sheehan’s syndrome) and transient resolving thyrotoxicosis due to postpartum painless thyroiditis”***
Case  2	29	Japanese	Positive	Thyrotoxicosis	1997	[13]
“Painless thyroiditis developed in a patient with Sheehan’s syndrome”***
Case  3	30	French	Positive	Thyrotoxicosis	2002	[4]
“Postpartum autoimmune thyroiditis in a patient presenting with Sheehan’s syndrome”***
Case  4	36	Japanese	Positive	Thyrotoxicosis
“A Patient with postpartum hypopituitarism (Sheehan’s Syndrome) developed postpartum autoimmune thyroiditis (PPAT) (transient thyrotoxicosis and hypothyroidism)”***

ATA*: antithyroid antibodies (antithyroid peroxidase antibody (TPOAb) and/or antithyroglobulin antibody (TGAb)). Thyroid state**: the patient initially presented with thyrotoxicosis. ***: title of the report. Cases  1, 2, and 3 have been reported previously [4, 12, 13], respectively. Case  4 is presented in this paper.