Vidal Angela, Dhakal Carolin
Department of Obstetrics and Gynecology, Lucerne Cantonal Hospital, Switzerland.
Case Rep Obstet Gynecol. 2022 May 19;2022:4655249. doi: 10.1155/2022/4655249. eCollection 2022.
Thalassaemic syndromes are among the most common haemoglobinopathies and are associated with high morbidity and mortality. Because of the various treatments, a secondary endocrinopathy due to iron overload-haemosiderosis-can occur, causing hypopituitarism leading to hypogonadotropic hypogonadism (HH) and infertility. We present a case of secondary amenorrhoea in a patient with beta-thalassaemia and a history of multiple therapies in her adolescence, such as multiple transfusions, chemotherapy, and allogeneic bone marrow transplantation, who presented with HH and premature ovarian insufficiency.
地中海贫血综合征是最常见的血红蛋白病之一,与高发病率和死亡率相关。由于采用了各种治疗方法,可能会出现因铁过载——血色素沉着症导致的继发性内分泌病,引起垂体功能减退,进而导致低促性腺激素性性腺功能减退(HH)和不孕。我们报告一例β地中海贫血患者继发性闭经的病例,该患者在青春期有多次治疗史,如多次输血、化疗和异基因骨髓移植,出现了HH和卵巢早衰。