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1.
Korean Journal of Perinatology ; : 265-271, 2006.
Artigo em Coreano | WPRIM | ID: wpr-109044

RESUMO

OBGECTIVE : The purpose of this study is to evaluate perinatal outcomes according to thyroid function in pregnant women with thyroid disease. METHODS : The retrospective study was made by review of medical records of 42 pregnant women with thyroid disease (hyperthyroidism:22 cases, hypothyroidism:20 cases) who had delivered between Jan 2001 to Oct 2005. Clinical features and thyroid hormone levels were compared between the women who were managed during pregnancy (treating group) and not managed during pregnancy who had been cured (cured group). RESULTS:In pregnant women with hyperthyroidism, treating group showed higher T3 and T4, lower TSH than cured group, but there was no difference in neonatal thyroid hormone levels between two groups. In the women with thyroid storm, all thyroid hormone levels were significantly different from those in women without thyroid storm, but in newborn of women with thyroid storm, only TSH level was significantly lower. In the pregnant women with hypothyroidism who were treated appropriate levothyroxine, almost women maintained euthyroid hormone levels during pregnancy. CONCLUSION:Early diagnosis and treatment for thyroid disease before pregnancy may prevent perinatal complications. Team approach of obstetrician, endocrinologist and neonatalogist may help for maternal and fetal well-being.


Assuntos
Feminino , Humanos , Recém-Nascido , Gravidez , Diagnóstico , Hipertireoidismo , Hipotireoidismo , Prontuários Médicos , Gestantes , Prognóstico , Estudos Retrospectivos , Crise Tireóidea , Doenças da Glândula Tireoide , Glândula Tireoide , Tiroxina
2.
Korean Journal of Obstetrics and Gynecology ; : 500-504, 2005.
Artigo em Coreano | WPRIM | ID: wpr-182295

RESUMO

Endometriosis is relatively common gynecologic diseases, but pulmonary endometriosis is exceedingly rare among various types of external endometriosis. Patients with pleural pulmonary endometriosis present with chest pain, dyspnea, pneumothorax or pleural effusion in relation to menstruation. Patients with parenchymal pulmonary endometriosis present with hemoptysis at the time of menstruation, with or without lung lesions on their chest X-ray. The diagnosis of pulmonary endometriosis is usually made on the basis of the clinical history and the exclusion of other causes of recurrent hemoptysis including tuberculosis, bronchial carcinoid, pulmonary infarction, chronic bronchitis, congenital abnormalities and carcinoma. It can be treated by progesterone, GnRH agonist, Danazol, surgical treatment etc. Hereby we experienced 23 year-old multiparous woman with catamenial hemoptysis. The site of disease/was localized with bronchoscopy and chest CT scanning, and we treated her with Danazol. The literature associated with pulmonary endometriosis is briefly reviewed.


Assuntos
Feminino , Humanos , Adulto Jovem , Bronquite Crônica , Broncoscopia , Tumor Carcinoide , Dor no Peito , Anormalidades Congênitas , Danazol , Diagnóstico , Dispneia , Endometriose , Doenças dos Genitais Femininos , Hormônio Liberador de Gonadotropina , Hemoptise , Pulmão , Menstruação , Derrame Pleural , Pneumotórax , Progesterona , Infarto Pulmonar , Tórax , Tomografia Computadorizada por Raios X , Tuberculose
3.
Korean Journal of Obstetrics and Gynecology ; : 1788-1792, 2005.
Artigo em Coreano | WPRIM | ID: wpr-205133

RESUMO

Caudal regression syndrome is rare malformative syndrome characterized by lower vertebral agenesis, accompanied by abnormalities of the pelvis, lower extremities and urogenital malformation. Although the cause is not clear, hyperglycemia during the organogenesis may be important teratogen. Strict evaluation of diabetes and its control in preconception and early pregnancy are important to prevent this malformation. And ultrasonography in the first trimester should be recommended for early detection of this syndrome. We report a case of caudal regression syndrome detected by prenatal ultrasonography of the gestational diabetic mother.


Assuntos
Feminino , Humanos , Gravidez , Hiperglicemia , Extremidade Inferior , Mães , Organogênese , Pelve , Primeiro Trimestre da Gravidez , Ultrassonografia , Ultrassonografia Pré-Natal
4.
Korean Journal of Obstetrics and Gynecology ; : 976-979, 2004.
Artigo em Coreano | WPRIM | ID: wpr-16629

RESUMO

Primay ovarian choriocarcinoma is very rare disease. Especially, non-gestational choriocarcinoma of ovary has worse prognosis than gestational tumor. Here, we report a non-gestational pure ovarian choriocarcinoma in 11 years old woman with the review of literature.


Assuntos
Criança , Feminino , Humanos , Gravidez , Coriocarcinoma , Coriocarcinoma não Gestacional , Ovário , Prognóstico , Doenças Raras
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