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OCR: ple due t In progressive hypopituitarism, for exan an anterior pituitary tumour, there is a f hormonecharacteristic order in the development GH and LHdeficiency (Fig. 2.9). Usually, secretion of of FSH and fails first; this is followed later by failure H TSH secretion, and finally by that of AC pt in secretion. Prolactin deficiency is rare exc ed with a Sheehan's syndrome, where it is associa e (ADH or failure of lactation, Antidiuretic hormon own in vasopressin) deficiency is virtually unkn lowing although patients with anterior pituitary tumours it may occasionally be seen in patients fo lus. head injury. The result is diabetes insipi