05 May 2021
: Case report 
A Case of Sheehan Syndrome 7 Years Postpartum with Transaminitis and Hyperlipidemia
Challenging differential diagnosis, Rare disease
Sanah Sadiq1ABCE*, Arnab Chowdhury1ABCEDOI: 10.12659/AJCR.930908
Am J Case Rep 2021; 22:e930908
Table 1. Results of endocrine evaluations.
| Laboratory Test | Result | Reference range, units | Interpretation |
|---|---|---|---|
| TSH | 2.9 | 0.3–4.2 mIU/L | Normal |
| Free T4 | <0.3 | 0.9–1.7 ng/dL | Low |
| Total T3 | <25 | 80–200 ng/dL | Low |
| Prolactin, total | 14.3 | 4.8–23.3 ng/mL | Normal |
| Luteinizing hormone, postmenopausal | 3.5 | 5.3–65.4 IU/L | Low |
| FSH, postmenopausal | 9.5 | 16.0–157.0 IU/L | Low |
| Insulin-like growth factor binding-protein 3 | 0.9 | 3.3–6.7 mcg/mL | Low |
| Baseline ACTH | <5.0 | 7.2–63.0 pg/mL | Low |
| Random cortisol | 10 | 2.5–12 mcg/dL | Normal |
| Cortisol level 30 min after 1 mcg ACTH (ACTH stimulation test) | 12 | >18 mcg/dL | Abnormal |
| ACTH – adrenocorticotropic hormone; FSH – follicle-stimulating hormone; T3 – triiodothyronine; T4 – thyroxine; TSH – thyroid-stimulating hormone. | |||