Gutowski N J, Heron J R
Department of Neurology, North Staffordshire Royal Infirmary, Hartshill, Stoke-on-Trent, UK.
Postgrad Med J. 1993 May;69(811):392-4. doi: 10.1136/pgmj.69.811.392.
Three women in late middle age had recurrent episodes of confusion which could not be explained solely on the basis of an associated infection. All three patients had latent hypopituitarism diagnosed on final presentation. Each patient had a previous history of a severe postpartum haemorrhage followed by two further pregnancies. Experienced clinicians had not made a diagnosis of confusional episodes due to hypopituitary encephalopathy because the history was not immediately available in the confused patient, and the significance of deficient axillary and pubic hair was not given due emphasis.
三名中年后期女性反复出现意识模糊发作，仅根据相关感染无法解释这些发作。所有三名患者在最终就诊时被诊断为潜在性垂体功能减退。每位患者既往都有严重产后出血史，随后又有两次怀孕经历。经验丰富的临床医生未诊断出意识模糊发作是由垂体功能减退性脑病引起的，因为在意识模糊的患者中无法立即获取病史，且未充分重视腋毛和阴毛缺失的意义。
