Sheehan’s syndrome presenting as psychosis: a rare clinical presentation

Sheehan’s syndrome (SS) refers to the occurrence of varying degree of hypopituitarism after parturition (1). It is a rare cause of hypopituitarism in developed countries owing to advances in obstetric care and its frequency is decreasing worldwide. However, it is still frequent in underdeveloped and developing countries. Sheehan’s syndrome is often diagnosed late as it evolves slowly (2,3). Reports of psychoses in patients with Sheehan’s syndrome are rare. Herein, a case report of psychosis in a 31 year old woman who developed Sheehan’s syn-drome preceded by postpartum haemorrhage is presented. Treatment with thyroxine and glucocorticoids result-ed in complete remission after attaining euthyroid and eucortisolemic state.