Hyperreactio luteinalis with both markedly elevated human chorionic gonadotropin levels and an imbalance of angiogenic factors subsequently developed severe early-onset preeclampsia

Hisashi Masuyama, Yoko Tateishi, Miwa Matsuda, Yuji Hiramatrsu

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Objective: To report a case of hyperreactio luteinalis (HL) with elevated levels of human chorionic gonadotropin (hCG) and a severe imbalance of angiogenic factors, which developed into severe, early onset preeclampsia (PE). Design: Case report. Setting: University perinatal center. Patient(s): A 32-year-old primigravida woman with HL, high hCG levels, and severe imbalance of angiogenic factors who subsequently developed severe PE. Intervention(s): Emergent cesarean section due to nonreassuring fetal status. Main Outcome Measure(s): Severe, early onset PE. Result(s): A case of HL was referred to our hospital for remarkably elevated hCG levels and bilaterally enlarged multicystic ovaries in the first trimester; the patient subsequently developed severe, early onset PE with a severe imbalance of angiogenic factors. Emergency cesarean section was performed, and she delivered a premature female infant weighing 1818 g at 32 week's gestational age. During her next pregnancy, the circulating levels of hCG and angiogenic factors remained normal, and she did not develop either PE or HL. Conclusion(s): Although HL complicated with PE is very rare, our case suggests that HL associated with both an elevated hCG level and an imbalance of angiogenic factors might be a risk/predictive factor for severe, early onset PE.

Original languageEnglish
JournalFertility and Sterility
Volume92
Issue number1
DOIs
Publication statusPublished - Jul 2009

Fingerprint

Angiogenesis Inducing Agents
Chorionic Gonadotropin
Pre-Eclampsia
Cesarean Section
Fetal Distress
First Pregnancy Trimester
Premature Infants
Gestational Age
Ovary
Emergencies
Outcome Assessment (Health Care)
Pregnancy

Keywords

  • Angiogenic factor
  • human chorionic gonadotropin
  • hyperreactio luteinalis
  • preeclampsia

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Reproductive Medicine

Cite this

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title = "Hyperreactio luteinalis with both markedly elevated human chorionic gonadotropin levels and an imbalance of angiogenic factors subsequently developed severe early-onset preeclampsia",
abstract = "Objective: To report a case of hyperreactio luteinalis (HL) with elevated levels of human chorionic gonadotropin (hCG) and a severe imbalance of angiogenic factors, which developed into severe, early onset preeclampsia (PE). Design: Case report. Setting: University perinatal center. Patient(s): A 32-year-old primigravida woman with HL, high hCG levels, and severe imbalance of angiogenic factors who subsequently developed severe PE. Intervention(s): Emergent cesarean section due to nonreassuring fetal status. Main Outcome Measure(s): Severe, early onset PE. Result(s): A case of HL was referred to our hospital for remarkably elevated hCG levels and bilaterally enlarged multicystic ovaries in the first trimester; the patient subsequently developed severe, early onset PE with a severe imbalance of angiogenic factors. Emergency cesarean section was performed, and she delivered a premature female infant weighing 1818 g at 32 week's gestational age. During her next pregnancy, the circulating levels of hCG and angiogenic factors remained normal, and she did not develop either PE or HL. Conclusion(s): Although HL complicated with PE is very rare, our case suggests that HL associated with both an elevated hCG level and an imbalance of angiogenic factors might be a risk/predictive factor for severe, early onset PE.",
keywords = "Angiogenic factor, human chorionic gonadotropin, hyperreactio luteinalis, preeclampsia",
author = "Hisashi Masuyama and Yoko Tateishi and Miwa Matsuda and Yuji Hiramatrsu",
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AU - Tateishi, Yoko

AU - Matsuda, Miwa

AU - Hiramatrsu, Yuji

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N2 - Objective: To report a case of hyperreactio luteinalis (HL) with elevated levels of human chorionic gonadotropin (hCG) and a severe imbalance of angiogenic factors, which developed into severe, early onset preeclampsia (PE). Design: Case report. Setting: University perinatal center. Patient(s): A 32-year-old primigravida woman with HL, high hCG levels, and severe imbalance of angiogenic factors who subsequently developed severe PE. Intervention(s): Emergent cesarean section due to nonreassuring fetal status. Main Outcome Measure(s): Severe, early onset PE. Result(s): A case of HL was referred to our hospital for remarkably elevated hCG levels and bilaterally enlarged multicystic ovaries in the first trimester; the patient subsequently developed severe, early onset PE with a severe imbalance of angiogenic factors. Emergency cesarean section was performed, and she delivered a premature female infant weighing 1818 g at 32 week's gestational age. During her next pregnancy, the circulating levels of hCG and angiogenic factors remained normal, and she did not develop either PE or HL. Conclusion(s): Although HL complicated with PE is very rare, our case suggests that HL associated with both an elevated hCG level and an imbalance of angiogenic factors might be a risk/predictive factor for severe, early onset PE.

AB - Objective: To report a case of hyperreactio luteinalis (HL) with elevated levels of human chorionic gonadotropin (hCG) and a severe imbalance of angiogenic factors, which developed into severe, early onset preeclampsia (PE). Design: Case report. Setting: University perinatal center. Patient(s): A 32-year-old primigravida woman with HL, high hCG levels, and severe imbalance of angiogenic factors who subsequently developed severe PE. Intervention(s): Emergent cesarean section due to nonreassuring fetal status. Main Outcome Measure(s): Severe, early onset PE. Result(s): A case of HL was referred to our hospital for remarkably elevated hCG levels and bilaterally enlarged multicystic ovaries in the first trimester; the patient subsequently developed severe, early onset PE with a severe imbalance of angiogenic factors. Emergency cesarean section was performed, and she delivered a premature female infant weighing 1818 g at 32 week's gestational age. During her next pregnancy, the circulating levels of hCG and angiogenic factors remained normal, and she did not develop either PE or HL. Conclusion(s): Although HL complicated with PE is very rare, our case suggests that HL associated with both an elevated hCG level and an imbalance of angiogenic factors might be a risk/predictive factor for severe, early onset PE.

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