Diabetes insipidus criteria. A diabetes insipidus jellemző panaszai
Female genital tuberculosis: a global review. Int J Fertil Womens Med ;49 3 — Transmission of genitourinary tuberculosis.
Health Bull Diabetes insipidus criteria ;40 2 — Overview of tuberculosis of the female genital tract. J Indian Med Assoc ;94 9 —6. Pelvic tuberculosis. Int J Gynaecol Obstet ;37 2 — Gynaecological tuberculosis: analysis of a personal series of cases. Kirschner 20 September doi A year-old, cm tall, woman with secondary amenorrhoea and primary infertility was referred for investigation. She developed idiopathic hypothalamic DI at the age of 7 years and has been treated with different vasopressin medication since.
A diabetes insipidus jellemző panaszai
Attempts at withdrawing desmopressin failed. The response to vasopressin was good. Serum vasopressin was not determined. There was no history of cranio-encephalic trauma, psychiatric problems, headaches, or visual disturbances, and neurological and imaging investigations revealed no abnormality, hence the DI was considered idiopathic. Her periods occurred every 2— 3 months from menarche at 17 years, and ceased at 25 years.
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Her family and personal history otherwise was unremarkable. Three attempts of clomiphene citrate treatment elsewhere due to primary infertility were unsuccessful. Her genitalia and secondary sexual characteristics were normal. Abdominal and vaginal ultrasound and CT scan revealed no abnormality. In the vaginal smears intermediate cells were found. Progesterone level 0. Serum levels of androgens, prolactin and growth hormone were normal as were the thyroid and adrenal functions.
Karyotype: 46,XX.
Progestin-withdrawal test was positive. Due to the evidence of estrogen production, further clomiphene cycles with successively increased doses were attempted followed later by gonadotropin stimulation, resulting in anovulatory bleeding.
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From 30 years of age her periods became regular and serum FSH levels were in the normal range. At age 31 years, an 8-week spontaneous pregnancy was diagnosed with vanishing twin syndrome, reducing to a normal singleton pregnancy.
The ADH treatment was continued during her pregnancy, which was uncomplicated.
She gave birth to a normal boy weighing g by caesarean section at 42 weeks gestation. Following delivery, her periods were normal and 2 years diabetes insipidus criteria she delivered another normal boy vaginally. She was on desmopressin treatment during her secondary pregnancy as well, which was also uneventful. The term diabetes insipidus criteria premature ovarian failure not due to defined aetiology i. This, however, does not mean permanent cessation of ovarian function as follicular function can continue with resumed cyclic ovulation occasionally or regularly with or without conception in a substantial number of affected women [2].
We found no circulating adrenal cortex autoantibodies and there was no history of autoimmune disease in the family suggesting an autoimmune aetiology autoimmune lymphocytic oophoritis diabetes insipidus criteria our diabetes insipidus criteria. However, ovarian autoantibodies were not determined [3]. We did not perform ovarian biopsy to evaluate the status of the follicles in the ovaries and to diagnose autoimmune, granulomatous or other benign ovarian conditions.
Apart from possible autoimmune oophoritis, there was no indication of any other non-neoplastic disease of the ovary to be considered in differential diagnosis.
Diabetes Insipidus (Central and Nephrogenic) - Causes, Symptoms, and Treatment
The possible role of DI in ovarian function remains unclear; currently there is no evidence on that. In our patient, any causal relationship between the DI and the spontaneous ovarian failure is unlikely because her DI was adequately treated with the same treatment regimen over 20 years of observation, including her pregnancies.
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The association of DI and pregnancy is rare 1 in 30, and DI may be transient during pregnancy probably due to altered secretion or degradation of vasopressin in pregnant women [4].
Administration of Antiduretin-SD during pregnancy is important and commonly used without any adverse affect. Foetal and maternal complications in pregnant women with treated DI are not increased.
Our observation supports this view. In pregnant women with untreated DI stillbirth and severe eclampsia or other complications have been reported [5,6]. The phenomenon is called vanishing twin, which apart from slight bleeding has no clinical symptoms.
Reduction of the twin to a singleton pregnancy evidenced by ultrasound in our case was not associated with bleeding or other symptoms. We are not aware of reports regarding vanishing twin in association with POF.
Our findings support previous observation that spontaneous hypergonadotrophic amenorrhea in a young woman may be transient and patients should be informed accordingly, i. The benefit of desmopressin administration during pregnancy is evident.
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References [1] Briet JW. An update: spontaneous premature ovarian failure is not an early menopause. Fertil Steril ;— Autoimmune oophoritis as a mechanism of follicular dysfunction in women with 46,XX spontaneous premature ovarian failure. Transient diabetes insipidus during pregnancy: a clinical case and a review of the syndrome. Diabetes insipidus and complicated pregnancy.
JAMA ;—5. Graviditäten bei Diabetes insipidus. Geburtsh Frauenheilk ;—3.
Gyermeknövekedés és diabetes insipidus
Stephen Hospital Budapest, Budapest, Nagyvárad tér 1. Bösze 8 Diabetes insipidus criteria doi However, the symptoms had resolved on review in an endocrinology clinic. This was associated with use of a herbal extract with dopaminergic properties, an association which has not been previously described. On examination she had normal secondary sexual development but was noted to have galactorrhoea. Macroprolactinaemia was excluded as a cause.
FSH and oestrogen were also low, consistent with anovulation.
2. típusú diabétesz áttekintése
Thyroid function tests were normal. She had no other symptoms of note. She was referred to the endocrinology service.
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- Впервые в их жизни не было никакой спешки, каждую ночь они разговаривали, особенно после любви.
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