ACUTE AND CHRONIC PITUITARY FAILURE RESEMBLING SHEEHAN'S SYNDROME FOLLOWING BITES BY RUSSELL'S VIPER IN BURMA

@article{TunPe1987ACUTEAC,
  title={ACUTE AND CHRONIC PITUITARY FAILURE RESEMBLING SHEEHAN'S SYNDROME FOLLOWING BITES BY RUSSELL'S VIPER IN BURMA},
  author={Tun-Pe and DavidA. Warrell and Tin-Nu-Swe and Rodney E. Phillips and Christopher W. Burke},
  journal={The Lancet},
  year={1987},
  volume={330},
  pages={763-767}
}
Pituitary function was investigated in 9 patients in shock after Russell's viper bites and in 24 individuals who had been severely envenomed 2 weeks to 24 years previously. 3 out of 9 patients had hypoglycaemia and inappropriately low serum cortisol, plasma growth hormone, and plasma prolactin concentrations. 4 who died had pituitary haemorrhage and 1 had adrenal haemorrhage as well. Of the 24 who had apparently recovered from bites, 7 had clinical features of hypopituitarism and no response in… CONTINUE READING
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