Jutz P, Clavadetscher P, Ketz E, Wegmann T
Schweiz Med Wochenschr. 1976 Jun 5;106(23):803-5.
Three weeks after commencing oral contraception for the first time, a 26-year-old woman with a history of rheumatic carditis and chorea minor presented with sudden recurrence of hyperkinesis. Withdrawal of the contraceptive agent was followed by rapid remission of the hyperkinesis, which suggests a casual relationship between the contraceptive and this condition and an analogy between this case and so-called chorea gravidarum. A young non-pregnant woman presenting with chorea minor should be specifically questioned by ingestion of oral contraceptives. If there is a past history of rheumatic fever with or without chorea, oral contraceptives are contraindicated.
一名有风湿性心炎和轻度舞蹈病病史的26岁女性,在首次开始口服避孕药三周后,突然再次出现运动亢进。停用避孕药后,运动亢进迅速缓解,这表明避孕药与此病症之间存在因果关系,且该病例与所谓的妊娠性舞蹈病有相似之处。对于出现轻度舞蹈病的年轻未孕女性,应特别询问其是否服用了口服避孕药。如果有风湿热病史,无论是否伴有舞蹈病,均禁用口服避孕药。