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一名患有慢性肾衰竭青少年的XY性腺发育不全:1例弗雷泽综合征病例

XY gonadal dysgenesis in an adolescent with chronic renal failure: a case of Frasier syndrome.

作者信息

Murray S C

机构信息

Department of Obstetrics and Gynecology, University of Kentucky College of Medicine, Lexington 40536-0084, USA.

出版信息

J Pediatr Adolesc Gynecol. 1998 May;11(2):89-91. doi: 10.1016/s1083-3188(98)70118-4.

Abstract

STUDY OBJECTIVE

To report a case of XY gonadal dysgenesis in an adolescent with renal failure and to review the literature on this association.

METHODS

In this case report from the Tertiary Care University Medical Center, a 16-year-old female with chronic renal failure presenting with primary amenorrhea was studied. Interventions included laparotomy with bilateral gonadectomy and hormone replacement therapy.

MAIN OUTCOME MEASURES

Karyotype, gonadal histology.

RESULTS

Diagnosis of gonadal dysgenesis. Presence of a gonadoblastoma.

CONCLUSIONS

Gonadal dysgenesis should be considered in any female adolescent with renal disease presenting with pubertal delay or primary amenorrhea.

摘要

研究目的

报告一例患有肾衰竭的青少年XY性腺发育不全病例,并回顾关于这种关联的文献。

方法

在这份来自三级医疗大学医学中心的病例报告中,对一名患有慢性肾衰竭且原发性闭经的16岁女性进行了研究。干预措施包括剖腹双侧性腺切除术和激素替代疗法。

主要观察指标

核型、性腺组织学。

结果

性腺发育不全诊断。存在性腺母细胞瘤。

结论

对于任何患有肾病且出现青春期延迟或原发性闭经的女性青少年,都应考虑性腺发育不全。

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