Gao Xiao-Han, Wang Yuan, Wang Rui-Cang, -Yuan Jun, Yang Jie, Zhang Xiao-Xia, Li Jie
Department of Hematology Hebei General Hospital Shijiazhuang China.
Department of Oncology Hebei Chest Hospital Shijiazhuang China.
Clin Case Rep. 2023 Jan 23;11(1):e6827. doi: 10.1002/ccr3.6827. eCollection 2023 Jan.
We describe the case of a 58-year-old woman who was presented with pancytopenia and hypofibrinogenemia. Treatment with iron supplementation was not satisfactory. Physical findings and a history of a massive postpartum hemorrhage suggested Sheehan's syndrome(SS). After thyroxine and glucocorticoid replacement therapy, the blood cell count improved. SS is a rare etiology of hemocytopenia, of which hematologists need to be aware. We conclude that hormonal therapy can produce full hematological recovery.
我们描述了一例58岁女性患者,其表现为全血细胞减少和纤维蛋白原血症。补充铁剂治疗效果不佳。体格检查结果及大量产后出血史提示希恩综合征(SS)。给予甲状腺素和糖皮质激素替代治疗后,血细胞计数有所改善。SS是血细胞减少的一种罕见病因,血液科医生需要对此有所认识。我们得出结论,激素治疗可使血液学指标完全恢复。