RESUMO
A 45-year old woman with the typical Turner's phenotype (short stature, short and broad neck, shield chest and low hairline) and signs of ovarian failure started at the age of 37 with menopause at the age of 44, is presented. The cytogenetic analysis showed the presence of three different cell lines with 45,X, 46,XX and 47,XXX karyotypes. It is a rare type of mosaicism, combining Turner's and triple-X syndrome. Interestingly, the became pregnant and gave birth to a healthy child. Second pregnancy resulted in a miscarriage in the first trimester.
Assuntos
Mosaicismo , Síndrome de Turner/genética , Feminino , Humanos , Cariotipagem , Pessoa de Meia-Idade , GravidezAssuntos
Adenoma/metabolismo , Adenoma/patologia , Neoplasias Hipofisárias/metabolismo , Neoplasias Hipofisárias/patologia , Adenoma/química , Adenoma/diagnóstico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Hormônios Hipofisários/metabolismo , Neoplasias Hipofisárias/química , Neoplasias Hipofisárias/diagnósticoRESUMO
Hyperandrogenemia may be the most common endocrinopathy in women, affecting up to 10% of all women and as many as 30% of certain subgroups. Women with polycystic ovary syndrome have a unique disorder of insulin action and are at increased risk to develop NIDDM. NIDDM in women with PCOS has earlier age of onset than it does in the general population. Insulin-induced receptor autophosphorylation is diminished in 50% of PCOS women. PCOS may be a disease of abnormal protein tyrosine kinase receptor signaling. IGF-I and IGF-II play an important role in regulating ovarian androgen production via receptors.
Assuntos
Diabetes Mellitus Tipo 2/etiologia , Resistência à Insulina , Síndrome do Ovário Policístico/metabolismo , Feminino , Humanos , Síndrome do Ovário Policístico/complicações , Fatores de RiscoRESUMO
The results of measurement of bone mass in three areas (lumbar spine, femoral neck and radius) where osteoporotic fractures most commonly occur are presented. The sample of 103 women was divided into three groups: premenopausal, early menopausal (up to 5 years of menopause) and late menopausal (more than 5 years of menopause). Both menopausal groups were additionally divided in two subgroups regarding the previous fractures. A statistically significant difference (p < 0.01) was found between bone mineral density (lumbar spine, femoral neck) and bone mineral content (radius) among all the groups. No difference was established for bone mass between postmenopausal women with and without fractures (> 0.05) by using the Kruskal-Wallis analysis of variance. A significant negative correlation (p < 0.01) was found between bone mass in all three tested regions on one side vs age of women as well as the period of menopause on the other. These results indicate that bone mass is significantly decreased in postmenopausal women. Therefore, the authors recommend densitometry to be employed in all postmenopausal women.