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肾上腺酶缺乏所致高雄激素血症:妊娠的可能性。五例(作者译)

[Hyperandrogenism due to adrenal enzyme deficiency: possibility of pregnancy. Five cases (author's transl)].

作者信息

Hazard J, Guilhaume B, Perlemuter L, Cenac A, Gelinet M

出版信息

Nouv Presse Med. 1980 Feb 16;9(8):493-6.

PMID:6966053
Abstract

Five women suffering from hyperandrogenism due to adrenal enzyme deficiency, with various clinical symptoms and discovered at a more or less early stage, had a total of 7 pregnancies. 21-hydroxylase was deficient in three, and 11-beta-hydroxylase in two women. The pregnancies occured 6 months to 10 years after corticosteroid treatment was started in four cases, and after it was discontinued in a case of partial deficiency in 11-beta-hydroxylase. Four women delivered on term, two of them normally and two by caesarean section. The fifth woman delivered prematurely on the 33rd week. Two pregnancies were interrupted either spontaneously or voluntarily. None of the newborn babies (three girls and two boys) showed any abnormality. With the exception of the premature girl, their weight was normal. The oldest of the girls had a normal puberty at the age of thirteen.

摘要

五名因肾上腺酶缺乏而患有高雄激素血症的女性,临床表现各异,且在不同程度的早期阶段被发现,她们共有7次妊娠。其中三名女性为21-羟化酶缺乏,两名女性为11-β-羟化酶缺乏。四例妊娠发生在开始皮质类固醇治疗后的6个月至10年,另一例11-β-羟化酶部分缺乏的患者在停药后妊娠。四名女性足月分娩,其中两名顺产,两名剖宫产。第五名女性在第33周早产。两次妊娠自然或自愿终止。所有新生儿(三名女孩和两名男孩)均未表现出任何异常。除早产女孩外,他们的体重均正常。年龄最大的女孩在13岁时青春期发育正常。

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