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Obstetrics & Gynecology 1985;65:S58-S59
© 1985 by The American College of Obstetricians and Gynecologists
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Isolated Adrenocorticotropic Hormone Deficiency With Antepartum Pituitary Infarction in a Type I Diabetic

RALPH G. WIELAND, MD and JEFFREY M. WIELAND, MD

Department of Medicine, Huron Road Hospital, and University Hospitals of Cleveland, Cleveland, Ohio.

Isolated adrenocorticotropic hormone (ACTH) deficiency was documented after cesarean delivery in a patient with type I diabetes. A preceding severe headache, subsequent declining insulin requirements, and hypotension are consistent with pituitary infarction in a patient without computed tomography evidence of a pituitary tumor. Antepartum incomplete pituitary infarction with isolated ACTH deficiency is an unusual but potentially catastrophic complication of the pregnant diabetic.






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