Presentation
(Oxf) VL - 24 IS - 3 N2 - A 5-year-old girl with the McCune-Albright syndrome presented with precocious puberty secondary to autonomously functioning ovarian cysts, followed by true central puberty. [wwww.unboundmedicine.com]
Abstract Diabetic women present an elevated incidence of mestrual disorders often associated with partial gonadotropic insufficiency with reduced LH, E2 and ovarian androgen production. [nature.com]
Three girls presented recurrent autonomous ovarian cysts ( Table 2 ) and are described below in more detail. Patient No. 2 presented three episodes of precocious pseudopuberty at the age of 6, 7, and 7.7 years. [hormones.gr]
In females hyperprolactinaemia usually presents with amenorrhoea and in males with lack of libido. [slideshare.net]
[…] predominate (see Presentation). [emedicine.medscape.com]
Entire Body System
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Physician
[…] coverage of normal childhood growth and development, as well as the diagnosis, management, and prevention of common pediatric diseases and disorders, make this an ideal medical reference book for students, pediatric residents, nurse practitioners, and physician [books.google.com]
Physicians may prescribe estrogen replacement or progestin-estrogen replacement therapy to reduce some effects of menopause. [faqs.org]
Coding and sequencing for ovarian cancer are dependent on the physician documentation in the medical record and application of the Official Coding Guidelines for inpatient care. [fortherecordmag.com]
For most physicians who are not endocrinologists, the crucial points in management are recognition of MAS and referral of the patient to an endocrinologist who is experienced in its management. [emedicine.medscape.com]
Liver, Gall & Pancreas
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Jaundice
Renal tubular disorders and renal stone disease 168 Clinical biochemistry of nutrition 180 Nutritional disorders and their management 200 Clinical biochemistry of the gastrointestinal tract 214 Assessment of hepatic function and investigation of jaundice [books.google.de]
Hepatic abnormalities range from mild elevation of hepatic transaminases to severe neonatal jaundice and chronic cholestasis. Although some liver biopsies appear normal, others reveal mild biliary abnormalities or fatty liver. [emedicine.medscape.com]
Psychiatrical
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Suggestibility
We need a follow-up of these patients to clarify whether they will develop a clear hyperandrogenism, as suggested by our results, or a partial gonadotropin insufficiency as other observed in older diabetic patients. [nature.com]
FOLLOWING ARE SUGGESTIONS for eating at each and every of... [tipsdiscover.com]
As hyperretraction can by caused by platelet activation (3) or platelet hyperfunction, there was speculation that the suggestive fibrinolytic pattern was actually caused by kaolin-induced platelet hyperfunction. [medical-dictionary.thefreedictionary.com]
Studies suggest that up to 5-10% of women with POI will eventually get pregnant - on their own, without treatment from a fertility doctor. [advancedfertility.com]
Approximately 4% of women who have primary ovarian insufficiency will have adrenal or ovarian antibodies, which suggests an autoimmune mechanism for disease ( 4 ). In many cases, the etiology remains unknown (1). [acog.org]
Urogenital
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Nephrolithiasis
Abnormality of transport protein Bisalbuminemia 273.9 Unspecified disorder of plasma protein metabolism 274 Gout Excludes: lead gout (984.0-984.9) 274.0 Gouty arthropathy 274.1 Gouty nephropathy 274.10 Gouty nephropathy, unspecified 274.11 Uric acid nephrolithiasis [theodora.com]
Workup
Diagnosis is challenging, but an initial workup includes cortisol and dexamethasone suppression testing. [arupconsult.com]
Diagnostic imaging modalities that may be considered include plain radiography, ultrasonography, computed tomography (CT), magnetic resonance imaging (MRI), and radionuclide bone scanning (as clinically indicated) (see Workup). [emedicine.medscape.com]
X-Ray
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Nephrolithiasis
Abnormality of transport protein Bisalbuminemia 273.9 Unspecified disorder of plasma protein metabolism 274 Gout Excludes: lead gout (984.0-984.9) 274.0 Gouty arthropathy 274.1 Gouty nephropathy 274.10 Gouty nephropathy, unspecified 274.11 Uric acid nephrolithiasis [theodora.com]
Treatment
The aim of this study was to evaluate ovarian function in 10 females with MAS (age 11.4-20.1 years) to detect the persistence of autonomous ovarian hyperfunction throughout and following adolescence, after at least 1 year wash out of any treatment for [ncbi.nlm.nih.gov]
DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. [ehealthme.com]
The close examination carried out during fertility treatment results in early detection and treatment of ectopic pregnancies. Miscarriage : 10 - 15 % of all pregnancies end in miscarriage. [vivaneo-ivf.com]
Regardless of the etiology, there currently is no effective treatment that will be likely to result in a pregnancy (with her own eggs) for premature ovarian failure. Egg donation is a highly successful treatment (see below). [advancedfertility.com]
Treatment may be medical, surgical, or by irradiation, depending on the nature of the disorder. See Ch. 25,, for fuller treatment of ovarian and other disorders affecting women. [faqs.org]
Prognosis
The prognosis is generally good Who gets Ovarian Hypofunction? (Age and Sex Distribution) Ovarian Hypofunction affects nearly 1% of all female population of childbearing age, before the age of 40 years. [dovemed.com]
Thus, the prognosis varies according to the manifestations of MAS. With precocious puberty, the prognosis depends on the duration of premature estrogen exposure. [emedicine.medscape.com]
Therefore, the prognosis is not as favorable since it’s more difficult to treat ovarian cancer in its later stages. [fortherecordmag.com]
Prognosis Morbidity is most commonly related to complications of polyostotic fibrous dysplasia and the need for orthopaedic intervention. [atlasgeneticsoncology.org]
Etiology
The first goal of this study is to identify any possible contributions of the BAH phenotypes and genotypes to the pathophysiology of PCOS, a yet unknown factor in the etiology of this multifaceted disorder. [clinicaltrials.gov]
Regardless of the etiology, patients with primary ovarian insufficiency are estrogen deficient. [acog.org]
Regardless of the etiology, there currently is no effective treatment that will be likely to result in a pregnancy (with her own eggs) for premature ovarian failure. Egg donation is a highly successful treatment (see below). [advancedfertility.com]
(Etiology) Majority of the time, the cause of Ovarian Hypofunction is unknown. [dovemed.com]
Etiology of fibrous dysplasia and McCune-Albright syndrome. Int J Oral Maxillofac Surg. 1999 Oct. 28(5):366-71. [Medline]. Diaz A, Danon M, Crawford J. McCune-Albright syndrome and disorders due to activating mutations of GNAS1. [emedicine.medscape.com]
Epidemiology
Epidemiology United States and international statistics The exact incidence of MAS in the United States and internationally is unknown, but its prevalence is probably between 1 case in 100,000 population and 1 case in 1 million population, rendering it [emedicine.medscape.com]
Pathophysiology
[…] biochemistry of nutrition 180 Nutritional disorders and their management 200 Clinical biochemistry of the gastrointestinal tract 214 Assessment of hepatic function and investigation of jaundice 231 Acute and chronic liver disease 250 Glucose metabolism and the pathophysiology [books.google.de]
The first goal of this study is to identify any possible contributions of the BAH phenotypes and genotypes to the pathophysiology of PCOS, a yet unknown factor in the etiology of this multifaceted disorder. [clinicaltrials.gov]
The role of type 1 and type 2 5'-deiodinase in the pathophysiology of the 3,5,3'-triiodothyronine toxicosis of McCune-Albright syndrome. J Clin Endocrinol Metab. 2008 Jun. 93(6):2383-9. [Medline]. [Full Text]. Lietman SA, Ding C, Levine MA. [emedicine.medscape.com]
Gsalpha expression from the maternal allele will result in pathophysiological abnormality in tissues where that allele is expressed, but paternally expressed GNAS alleles may also result in endocrine dysfunction. [atlasgeneticsoncology.org]
Prevention
Succinct, targeted coverage of normal childhood growth and development, as well as the diagnosis, management, and prevention of common pediatric diseases and disorders, make this an ideal medical reference book for students, pediatric residents, nurse [books.google.com]
Presently, Ovarian Hypofunction is a condition that cannot be prevented in most cases. [dovemed.com]
In such cases, a further loss of height potential can be prevented by treatment with a GnRH agonist, but further relapses of the autonomous ovarian cyst cannot be prevented by such intervention. REFERENCES 1. [hormones.gr]
Treatment Estrogen therapy often helps relieve menopausal symptoms and prevents bone loss. However, it will not increase your chances of becoming pregnant. Less than 1 in 10 women with ovarian hypofunction will be able to get pregnant. [coordinatedhealth.com]
Estrogen therapy often helps relieve menopausal symptoms and prevents bone loss. However, it will not increase your chances of becoming pregnant. Fewer than 1 in 10 women with this condition will be able to get pregnant. [medlineplus.gov]