Post-Partum Pituitary Insufficiency and Livedo Reticularis Presenting a Diagnostic Challenge in a Resource-Limited Setting in Tanzania: A Case Report, Clinical Discussion, and Brief Review of Existing Literature

A 37-year-old African female presented ten years post-partum with multiple endocrine deficiencies and autoimmune features, including hypothyroidism, hypoadrenalism, lactation failure, secondary amenorrhea, post-partum thyroiditis, alopecia areata, livedo reticularis, and deranged coagulation indices. Appropriate hormone replacement therapy, including steroids, led to a remarkable clinical response. This case highlighted the significant impact of post-partum pituitary insufficiency in resource-limited settings and emphasized the need for high clinical suspicion for early and accurate diagnosis to improve management and patient outcomes.