Sheehan’s Syndrome Revisited: Underlying Autoimmunity or Hypoperfusion?
Table 2
Pituitary dynamic test results.
Patient number
TSH (μU/l)
Prolactin (ng/ml)
LH (μU/l)
FSH (μU/l)
Cortisol (μg/dl)
GH (μg/l)
Basal
Highest value
Free T4 (ng/dl)
Basal
Highest value
Basal
Highest value
Basal
Highest value
Basal
Highest value
Basal
Highest value
First visit
1
1.97
2.53
0.77
11.22
24.07
0.17
0.17
<0.1
<0.1
10.81
17.58
1.81
1.91
2
2.4
18.02
0.89
321.9
>470
0.15
0.17
<0.1
0.19
13.46
21.18
0.97
0.76
3
1.15
10.39
1.2
12.94
159
4.84
59.33
4.61
16.08
15.63
11.62
4.13
0.99
4
1.38
18.92
0.99
61.1
>470
0.19
0.23
0.11
0.75
23.74
40.25
0.15
0.88
5
0.96
5.27
1.03
21.61
137.1
2.62
26.22
4.76
15.32
12.56
16.46
7.87
6.36
6
3.05
15.4
0.9
334.9
>470
0.26
0.22
0.13
0.16
39.35
51.51
0.95
3.81
7
1.15
11.78
1.09
155.9
269.6
0.2
0.21
0.1
0.18
30.35
40.27
1.42
18.3
8
5.3
28.8
1.07
228.6
>470
0.18
0.23
0.21
0.51
62.9
62.8
0.39
0.38
9
1.86
6.59
1.14
83.94
297
0.29
0.82
3.33
10.9
13.63
10.88
0.33
0.84
10
0.42
3.6
1.6
65.5
269.9
0.2
0.3
0.52
1.9
16.3
24.9
2.21
0.68
11
0.7
9.7
1.1
18.9
>470
0.22
0.35
1.6
4.1
15.1
13.8
<0.05
0.18
12
1.6
8.5
1.22
39.5
97.1
2.1
11.7
7.1
23.6
31.9
40.5
0.13
1.89
13
1.64
13.5
1.23
13.2
121.6
5.64
133.8
4.6
27.4
6.6
15.3
<0.05
0.42
14
1.7
11.3
1.39
80.1
>470
1.9
5.4
6.1
16.2
28.3
33.7
0.68
20.7
15
1.3
11.9
1.3
84.1
188
9.6
86.8
5.6
17.4
16.6
26.8
0.14
4.4
16
2.59
12.72
1.15
104
171.5
5.54
16.98
8.21
19.05
15.9
13.45
0.37
0.32
17
0.8
8.07
1.38
31.72
217.4
5.46
23.78
6.6
16
14.7
18.16
2.3
3.25
18
0.93
30.9
1.13
175.5
444.8
4.61
44.79
10.68
39.53
10.83
17.26
0.2
2.3
19
2.22
26.06
0.9
141.6
>470
<0.1
<0.1
0.49
1.49
18.9
37.4
0.42
5.69
20
2.2
14.1
1.06
11.6
120.2
3
112.7
3.9
29.5
22.4
24.9
3.64
21.4
Follow-up visit
1
1.82
3.48
0.598
10.5
24.33
6.09
12.51
12.65
16.06
7.75
9.26
0.077
0.453
2
1.7
12.7
1.12
10
61.6
9.9
74.2
2.9
8.3
11.8
8.4
0.38
0.17
3
1.5
8.3
1.77
11.1
83.4
7.9
74.2
3.8
10.3
14.1
14.9
3.1
0.26
4
1.34
21.15
1.15
12.48
69.48
1.1
25.43
2.2
17.09
9.02
17.6
0.05
4.67
5
0.88
8.9
1.18
4.3
38.4
3.5
46.6
2.8
9.1
11.9
24.8
7.5
6.6
6
1.5
12.9
1.4
15.7
104.3
7.1
70.4
4.9
12.8
30.4
33.5
8.7
10.1
7
0.72
6.1
1.6
32.5
82.2
10.3
>200
2.9
27.6
38.9
39.1
9.1
8.1
8
2.9
17.9
1.3
66.6
241.6
24.6
137.9
6.5
14.6
11.3
25.3
2.9
15.5
9
3.3
21.1
1.26
18.3
244.9
10
116.8
5.9
25.7
26.7
25.5
12.3
9.5
10
1.3
10.74
1.45
15
88.7
3.99
82.62
1.71
5.77
13.1
23.6
7.22
17.2
11
2.52
23.45
0.94
13.49
99.85
3.51
70.65
6.73
28.9
17.19
29.59
<0.05
3.69
12
1.07
9.74
1.26
32.76
115.7
12.77
140.5
4.68
13.26
12.9
38.4
0.11
7.83
13
1.16
9.02
1.19
11.44
48.38
9.52
44.72
4.48
9.31
9.49
16.27
0.14
0.56
14
2.89
14.24
1.23
51.27
144.7
2.23
23.9
5.03
12.24
22.53
22.87
<0.05
0.1
15
1.54
17.57
1.16
97.41
332.5
4.13
53.31
2.25
5.61
9.22
11.61
2.21
2.23
16
15.25
>100
0.8
24.72
267.1
7.78
40.06
5.79
10.78
8.01
6.35
0.11
0.15
17
0.89
10.64
1.27
16.8
92.25
6.04
19.65
6.51
9.37
13.37
22.68
0.46
4.8
18
2.3
14.9
1.3
10.5
90.8
4.4
60
3.6
8.6
9.5
20.1
2.28
6.99
19
2.6
26.2
1.18
13.8
122.9
4.3
35.7
2.9
8.7
13.9
25.9
0.1
3.26
20
1.95
12.7
1.19
8.25
101.2
12.52
160.3
5.3
14.3
28.3
28.71
3.16
9.14
TSH: thyroid-stimulating hormone; LH: luteinizing hormone; FSH: follicle-stimulating hormone; GH: growth hormone. The basal and highest values of each hormonal axis assessed in the pituitary dynamic tests are shown. Altered response to the pituitary dynamic test.
