Gonadal function in adolescents and young women with juvenile systemic lupus erythematosus

Gonadal function in adolescents and young women with juvenile systemic lupus erythematosus

Autor Silva, CAA Google Scholar
Leal, M. M. Google Scholar
Leone, C. Google Scholar
Simone, V. P. Google Scholar
Takiuti, A. D. Google Scholar
Saito, M. I. Google Scholar
Kiss, MHB Google Scholar
Instituição Universidade Federal de São Paulo (UNIFESP)
Universidade de São Paulo (USP)
Resumo The authors analysed the gonadal function and age of menarche of 23 female adolescents and young women with SLE, and correlated these with clinical, SLEDAI and therapeutic parameters. the presence of one or more clinical and laboratory parameters defined normal gonadal function: normal menstrual cycles with or without dysmenorrhea; elevated cervical mucus length; normal levels of plasma FSH, LH, estradiol, progesterone, prolactin and testosterone; normal urinary hormonal cytology; serial pelvic ultrasound compatible with ovulatory pattern; and present or previous pregnancy. the mean age of menarche (13.5 +/- 1.4 years) was greater than that found among 2578 healthy Brazilian adolescents (12.5 +/- 1.3 years; P = 0.0002). the delay in menarche correlated with an increase in the duration of the disease (P = 0.0085) and the cumulative dose of prednisone (P = 0.0013) used until the appearance of the menarche. the mean phase length in SLE was 31.5 +/- 10.3. Sixteen female (70%) patients showed normal and seven (30%) abnormal gonadal function. Gonadal function was not correlated with parameters of SLE. These results suggest that the patients of this study reach adulthood with a high chance of fertility.
Assunto adolescent
gonadal function
hormone
menarche
systemic lupus erythematosus
Idioma Inglês
Data 2002-01-01
Publicado em Lupus. London: Arnold, Hodder Headline Plc, v. 11, n. 7, p. 419-425, 2002.
ISSN 0961-2033 (Sherpa/Romeo, fator de impacto)
Editor Arnold, Hodder Headline Plc
Extensão 419-425
Fonte http://dx.doi.org/10.1191/0961203302lu219oa
Direito de acesso Acesso restrito
Tipo Artigo
Web of Science WOS:000177542300004
URI http://repositorio.unifesp.br/handle/11600/26727

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