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一名早产儿卵巢过度刺激综合征的罕见病例。

A Rare Case of Ovarian Hyperstimulation Syndrome in a Preterm Infant.

作者信息

Mosallanejad Asieh, Tabatabai Shahrzad, Shakiba Marjan, Alaei Mohammad Reza, Saneifard Hedieh

机构信息

Assistant Professor, Imam Hosein Medical Center, Shahid Beheshti University of Medical Sciencce , Tehran, Iran .

Assistant Professor, Mofid Children Hospital, Shahid Beheshti University of Medical Sciencce , Tehran, Iran .

出版信息

J Clin Diagn Res. 2016 Nov;10(11):SD07-SD08. doi: 10.7860/JCDR/2016/21562.8880. Epub 2016 Nov 1.

DOI:10.7860/JCDR/2016/21562.8880
PMID:28050466
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5198419/
Abstract

Ovarian hyperstimulation syndrome is a rare disease among preterm infants. This syndrome was first described in 1985 in four infants with a gestational age of <30 weeks. Several explanations for this syndrome have been suggested namely the immaturity of Hypothalamic-Pituitary-Gonadal (HPG) axis, lack of negative feedback, increased sensitivity of Follicle Stimulating Hormone (FSH) receptors due to mutation and high level of estradiol. In this report, a case of hyperstimulation syndrome in a newborn with gestational age of 30 weeks is presented and the probable mechanisms in the literature are discussed.

摘要

卵巢过度刺激综合征在早产儿中是一种罕见疾病。该综合征于1985年首次在4例孕周小于30周的婴儿中被描述。针对该综合征提出了几种解释,即下丘脑 - 垂体 - 性腺(HPG)轴不成熟、缺乏负反馈、由于突变导致促卵泡生成素(FSH)受体敏感性增加以及雌二醇水平升高。在本报告中,呈现了1例孕周为30周的新生儿发生过度刺激综合征的病例,并讨论了文献中的可能机制。

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本文引用的文献

1
Mini puberty and its interpretation.微小青春期及其解读。
Turk Pediatri Ars. 2014 Sep 1;49(3):186-91. doi: 10.5152/tpa.2014.2038. eCollection 2014 Sep.
2
Images in clinical medicine. Preterm ovarian hyperstimulation.临床医学影像。早产卵巢过度刺激综合征。
N Engl J Med. 2015 Jun 11;372(24):2336. doi: 10.1056/NEJMicm1402955.
3
Ovarian hyperstimulation syndrome treated by medroxyprogesterone acetate.醋酸甲羟孕酮治疗卵巢过度刺激综合征。
J Pediatr Endocrinol Metab. 2014 Sep;27(9-10):997-9. doi: 10.1515/jpem-2013-0452.
4
Preterm ovarian hyperstimulation syndrome presented with vaginal bleeding: a case report.早产卵巢过度刺激综合征伴阴道出血:一例报告
J Pediatr Endocrinol Metab. 2014 Mar;27(3-4):355-8. doi: 10.1515/jpem-2013-0166.
5
Fetal-neonatal ovarian cysts--their monitoring and management: retrospective evaluation of 20 cases and review of the literature.胎儿-新生儿卵巢囊肿——其监测与管理:20例回顾性评估及文献复习
J Clin Res Pediatr Endocrinol. 2010;2(1):28-33. doi: 10.4274/jcrpe.v2i1.28. Epub 2010 Feb 4.
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Ovarian hyperstimulation syndrome in newborns--a case presentation and literature review.新生儿卵巢过度刺激综合征——病例报告及文献综述
Horm Res. 2009 Jan;71(1):60-4. doi: 10.1159/000173743. Epub 2008 Nov 27.
7
Ovarian hyperstimulation syndrome due to a mutation in the follicle-stimulating hormone receptor.由于促卵泡激素受体突变导致的卵巢过度刺激综合征。
N Engl J Med. 2003 Aug 21;349(8):760-6. doi: 10.1056/NEJMoa030064.
8
Vascular endothelial growth factor, interleukin-6 and interleukin-2 in serum and follicular fluid of patients with ovarian hyperstimulation syndrome.卵巢过度刺激综合征患者血清和卵泡液中的血管内皮生长因子、白细胞介素-6和白细胞介素-2
Eur J Obstet Gynecol Reprod Biol. 2002 Mar 10;101(2):169-74. doi: 10.1016/s0301-2115(01)00568-1.
9
Neonatal ovarian cysts: management and follow-up.新生儿卵巢囊肿:管理与随访
Pediatr Surg Int. 2000;16(1-2):56-9. doi: 10.1007/s003830050015.
10
Characterization of intraperitoneal cytokines and nitrites in women with severe ovarian hyperstimulation syndrome.重度卵巢过度刺激综合征女性腹腔内细胞因子和亚硝酸盐的特征分析
Fertil Steril. 1996 Jul;66(1):66-71.