Hyperreactio luteinalis and hypothyroidism: A case report
We report a case of hyperreactio luteinalis (HL) and hypothyroidism diagnosed at 13 weeks of pregnancy. A 29-year-old woman with a spontaneous 13-week singleton pregnancy presented with hirsutism and a pelvic mass. Ultrasound showed a viable pregnancy compatible with the gestational age and multiple...
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| Published in | Case reports in women's health Vol. 21; p. e00094 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
Netherlands
Elsevier B.V
01.01.2019
Elsevier |
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| Online Access | Get full text |
| ISSN | 2214-9112 2214-9112 |
| DOI | 10.1016/j.crwh.2018.e00094 |
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| Abstract | We report a case of hyperreactio luteinalis (HL) and hypothyroidism diagnosed at 13 weeks of pregnancy. A 29-year-old woman with a spontaneous 13-week singleton pregnancy presented with hirsutism and a pelvic mass. Ultrasound showed a viable pregnancy compatible with the gestational age and multiple cystic lesions on both ovaries. Her TSH levels were markedly elevated and diagnostic of hypothyroidism, for which she was treated. Two days after presentation, she had a spontaneous abortion. The products of conception were histologically normal. Follow-up at 3 months showed resolution of the ovarian cysts, and the previously elevated androgen levels were in the normal range. Hyperreactio luteinalis was diagnosed. Her elevated TSH levels may have contributed to hyperreactio luteinalis through the activation of the hCG receptor.
•Hyperreactio luteinalis is a rare condition, characterized by the enlargement of both ovaries and hyperandrogenism.•We report a case of hyperreactio luteinalis (HL) and hypothyroidism in a spontaneous 13-week singleton pregnancy.•Increased levels of thyroid stimulating hormone may have contributed to hyperreactio luteinalis. |
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| AbstractList | We report a case of hyperreactio luteinalis (HL) and hypothyroidism diagnosed at 13 weeks of pregnancy. A 29-year-old woman with a spontaneous 13-week singleton pregnancy presented with hirsutism and a pelvic mass. Ultrasound showed a viable pregnancy compatible with the gestational age and multiple cystic lesions on both ovaries. Her TSH levels were markedly elevated and diagnostic of hypothyroidism, for which she was treated. Two days after presentation, she had a spontaneous abortion. The products of conception were histologically normal. Follow-up at 3 months showed resolution of the ovarian cysts, and the previously elevated androgen levels were in the normal range. Hyperreactio luteinalis was diagnosed. Her elevated TSH levels may have contributed to hyperreactio luteinalis through the activation of the hCG receptor. Keywords: Hyperreactio Luteinalis, Hypothyroidism, Pregnancy We report a case of hyperreactio luteinalis (HL) and hypothyroidism diagnosed at 13 weeks of pregnancy. A 29-year-old woman with a spontaneous 13-week singleton pregnancy presented with hirsutism and a pelvic mass. Ultrasound showed a viable pregnancy compatible with the gestational age and multiple cystic lesions on both ovaries. Her TSH levels were markedly elevated and diagnostic of hypothyroidism, for which she was treated. Two days after presentation, she had a spontaneous abortion. The products of conception were histologically normal. Follow-up at 3 months showed resolution of the ovarian cysts, and the previously elevated androgen levels were in the normal range. Hyperreactio luteinalis was diagnosed. Her elevated TSH levels may have contributed to hyperreactio luteinalis through the activation of the hCG receptor. • Hyperreactio luteinalis is a rare condition, characterized by the enlargement of both ovaries and hyperandrogenism. • We report a case of hyperreactio luteinalis (HL) and hypothyroidism in a spontaneous 13-week singleton pregnancy. • Increased levels of thyroid stimulating hormone may have contributed to hyperreactio luteinalis. We report a case of hyperreactio luteinalis (HL) and hypothyroidism diagnosed at 13 weeks of pregnancy. A 29-year-old woman with a spontaneous 13-week singleton pregnancy presented with hirsutism and a pelvic mass. Ultrasound showed a viable pregnancy compatible with the gestational age and multiple cystic lesions on both ovaries. Her TSH levels were markedly elevated and diagnostic of hypothyroidism, for which she was treated. Two days after presentation, she had a spontaneous abortion. The products of conception were histologically normal. Follow-up at 3 months showed resolution of the ovarian cysts, and the previously elevated androgen levels were in the normal range. Hyperreactio luteinalis was diagnosed. Her elevated TSH levels may have contributed to hyperreactio luteinalis through the activation of the hCG receptor.We report a case of hyperreactio luteinalis (HL) and hypothyroidism diagnosed at 13 weeks of pregnancy. A 29-year-old woman with a spontaneous 13-week singleton pregnancy presented with hirsutism and a pelvic mass. Ultrasound showed a viable pregnancy compatible with the gestational age and multiple cystic lesions on both ovaries. Her TSH levels were markedly elevated and diagnostic of hypothyroidism, for which she was treated. Two days after presentation, she had a spontaneous abortion. The products of conception were histologically normal. Follow-up at 3 months showed resolution of the ovarian cysts, and the previously elevated androgen levels were in the normal range. Hyperreactio luteinalis was diagnosed. Her elevated TSH levels may have contributed to hyperreactio luteinalis through the activation of the hCG receptor. We report a case of hyperreactio luteinalis (HL) and hypothyroidism diagnosed at 13 weeks of pregnancy. A 29-year-old woman with a spontaneous 13-week singleton pregnancy presented with hirsutism and a pelvic mass. Ultrasound showed a viable pregnancy compatible with the gestational age and multiple cystic lesions on both ovaries. Her TSH levels were markedly elevated and diagnostic of hypothyroidism, for which she was treated. Two days after presentation, she had a spontaneous abortion. The products of conception were histologically normal. Follow-up at 3 months showed resolution of the ovarian cysts, and the previously elevated androgen levels were in the normal range. Hyperreactio luteinalis was diagnosed. Her elevated TSH levels may have contributed to hyperreactio luteinalis through the activation of the hCG receptor. We report a case of hyperreactio luteinalis (HL) and hypothyroidism diagnosed at 13 weeks of pregnancy. A 29-year-old woman with a spontaneous 13-week singleton pregnancy presented with hirsutism and a pelvic mass. Ultrasound showed a viable pregnancy compatible with the gestational age and multiple cystic lesions on both ovaries. Her TSH levels were markedly elevated and diagnostic of hypothyroidism, for which she was treated. Two days after presentation, she had a spontaneous abortion. The products of conception were histologically normal. Follow-up at 3 months showed resolution of the ovarian cysts, and the previously elevated androgen levels were in the normal range. Hyperreactio luteinalis was diagnosed. Her elevated TSH levels may have contributed to hyperreactio luteinalis through the activation of the hCG receptor. •Hyperreactio luteinalis is a rare condition, characterized by the enlargement of both ovaries and hyperandrogenism.•We report a case of hyperreactio luteinalis (HL) and hypothyroidism in a spontaneous 13-week singleton pregnancy.•Increased levels of thyroid stimulating hormone may have contributed to hyperreactio luteinalis. |
| ArticleNumber | e00094 |
| Author | Cárdenas, José Eugenio Guerra Solis, Beatriz Elizabeth Aguilar Chaverri, Alejandro Pérez Paulín, Félix Domínguez |
| AuthorAffiliation | a Department of Obstetrics and Gynecology, Universidad Autónoma de Tamaulipas, Tampico, Tamaulipas, Mexico b Research Committee, “Dr. Alberto Romo Caballero” School of Medicine, Universidad Autónoma de Tamaulipas, Tampico, Tamaulipas, Mexico c Department of Obstetrics and Gynecology, “Dr. Carlos Canseco” General Hospital of Tampico, Tampico, Tamaulipas, Mexico |
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| Author_xml | – sequence: 1 givenname: Alejandro Pérez surname: Chaverri fullname: Chaverri, Alejandro Pérez email: peca8907@gmail.com organization: Department of Obstetrics and Gynecology, Universidad Autónoma de Tamaulipas, Tampico, Tamaulipas, Mexico – sequence: 2 givenname: Beatriz Elizabeth Aguilar surname: Solis fullname: Solis, Beatriz Elizabeth Aguilar organization: Department of Obstetrics and Gynecology, Universidad Autónoma de Tamaulipas, Tampico, Tamaulipas, Mexico – sequence: 3 givenname: Félix Domínguez surname: Paulín fullname: Paulín, Félix Domínguez organization: Department of Obstetrics and Gynecology, Universidad Autónoma de Tamaulipas, Tampico, Tamaulipas, Mexico – sequence: 4 givenname: José Eugenio Guerra surname: Cárdenas fullname: Cárdenas, José Eugenio Guerra organization: Research Committee, “Dr. Alberto Romo Caballero” School of Medicine, Universidad Autónoma de Tamaulipas, Tampico, Tamaulipas, Mexico |
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| Cites_doi | 10.1080/09513590701214513 10.1097/00006250-198603001-00020 10.1016/j.fertnstert.2011.03.060 10.1016/S0002-9378(97)70349-1 10.1016/j.ejogrb.2014.02.017 10.1186/s12902-018-0258-y 10.1186/1477-7827-9-119 10.1006/bbrc.1993.2233 |
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| Title | Hyperreactio luteinalis and hypothyroidism: A case report |
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