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Recurrent epigastric pains simulating peptic ulcer in postpartum pituitary necrosis

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Summary

Unlike most patients with Addison's disease, patients with hypopituitarism manifest few of the characteristic features of adrenocortical hypofunction. Hypotensive or hypoglycemic episodes may therefore present as initial signs of adrenal crisis in patients who may have manifested only minor degrees of other target-gland dysfunction.

A case of Sheehan's syndrome with recurrent epigastric pains (simulating peptic ulcer disease) of eleven years' duration is presented. Evidence is afforded that these gastrointestinal symptoms may have represented early manifestations of adrenal insufficiency.

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References

  1. Sheehan, H. L., andSummers, V. K. The syndrome of hypopituitarism.Quart. J. Med. 18:319, 1949.

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Authors and Affiliations

  1. From the Medical Service of the Greenpoint Hospital Services Unit (Division of Mount Sinai Hospital), Brooklyn, N. Y.

    Walter Futterweit M.D. & Stanley G. Seckler M.D.

  2. the Endocrine Research Laboratory and Clinic of the Departments of Medicine and Chemistry of Mount Sinai Hospital, New York, N. Y.

    Walter Futterweit M.D. & Stanley G. Seckler M.D.

Authors
  1. Walter Futterweit M.D.
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  2. Stanley G. Seckler M.D.
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Futterweit, W., Seckler, S.G. Recurrent epigastric pains simulating peptic ulcer in postpartum pituitary necrosis. Digest Dis Sci 9, 434–438 (1964). https://doi.org/10.1007/BF02239337

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  • DOI: https://doi.org/10.1007/BF02239337

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