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Sheehan syndrome announcing rheumatoid arthritis: a case report


MOJ Orthopedics & Rheumatology
Salem Bouomrani,1,2 Wided Letaïef2,3

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Abstract

Occurrence of arthritis and rheumatism in patient with Sheehan syndrome seems to be significantly higher than that in the general population. The association with an authentic rheumatoid arthritis (RA) remains however exceptional and unusual. The chronology of the association is variable, but the concomitant occurrence of these two diseases remains exceptional: to the best of our knowledge, only three observations of synchronous occurrence of RA and Sheehan syndrome have been found in the medical literature. We report an original observation of concomitant onset of RA and Sheehan syndrome occurring after normal delivery in a 43-year-old Tunisian woman.

Keywords

sheehan syndrome, rheumatoid arthritis, hypophysitis, empty sella, medical literature, diagnostic challenge, normal delivery, hypothyroidism, anti-native DNA, anti-neutrophil cytoplasm, pituitary magnetic resonance, serum ionogram, serum protein electrophoresis

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