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Table 1 (a) The results of hormone levels at the day of seizure. The pituitary dysfunction was observed. (b) The results of CRH, TRH, LH-RH, and GH-RP stimulation test. Low reactivity for ACTH, TSH, FSH, prolactin (PRL), and growth hormone (GH) was observed

From: A case of acute Sheehan’s syndrome and literature review: a rare but life-threatening complication of postpartum hemorrhage

a

The day after seizure

 

Day 0

 

normal range

      

adrenocorticotropic hormone (ACTH)

0–60 pg/mL

14

     

cortisol

4.3–20 μg/dl

3.4

     

thyroid-stimulating hormone (TSH)

0.400–4.80 MU/mL

0.72

     

free thyroxine

0.80–1.90 ng/dL

0.9

     

PRL

3.50–30.00 ng/mL

11.3

     

growth hormone (GH)

0.1–2.7 ng/mL

0.18

     

b

The day after seizure

 

Day 17

6 months

duration after the stimulation

 

0 min

30 min

60 min

0 min

30 min

60 min

 

normal range

none

CRH stimulation

CRH stimulation

none

CRH stimulation

CRH stimulation

adrenocorticotropic hormone (ACTH)

0–60 pg/mL

9

19

18

<5.0

12

20

  

none

TRH stiumulation

TRH stiumulation

none

TRH stiumulation

TRH stiumulation

thyroid-stimulating hormone (TSH)

0.400–4.80 MU/mL

0.69

4.32

2.98

0.75

4.62

3.16

  

none

LH-RH stiumulation

LH-RH stiumulation

none

LH-RH stiumulation

LH-RH stiumulation

FSH

0.4–11 mIU/ml

7.5

9.9

10.5

1.2

4.2

4.6

LH

0.08–7.3 mIU/mL

1.6

3.3

3.5

3.1

8.3

9.7

  

none

TRH stiumulation

TRH stiumulation

none

TRH stiumulation

TRH stiumulation

PRL

3.50–30.00 ng/mL

10.9

20.9

16.9

10

32.6

22.5

  

none

GH-RP stiumulation

GH-RP stiumulation

none

GH-RP stiumulation

GH-RP stiumulation

growth hormone (GH)

0.1–2.7 ng/mL

0.21

3.05

1.91

0.07

2.35

0.75

  1. Abbreviations: ACTH adrenocorticotropic hormone, CRH corticotropin-releasing hormone, FSH follicle-stimulating hormone, GH growth hormone, GH-RP growth hormone releasing peptide, LH-RH luteinizing hormone-releasing hormone, PRL prolactin; TRH thyrotropin-releasing hormone, TSH, thyroid-stimulating hormone