Pancytopenia: Its in the Brain

Pancytopenia is a very rare presentation of hormonal deficiencies. We describe a 49-year-old woman who presented with pancytopenia which did not improve despite conventional medical therapy. Her history of a previous episode of massive postpartum hemorrhage suggested Sheehan's syndrome, and the pituitary hormonal studies revealed panhypopituitarism. The relationships between pancytopenia and Sheehans syndromes are rare and have been not much reported. An increased awareness of this condition among physicians is warranted as the patient may be erroneously miss diagnosed and the treatable cause of pancytopenia; Sheehans syndrome may be missed.