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- Title
Menstrual and hormonal alterations in juvenile systemic lupus erythematosus.
- Authors
Medeiros, P. B.; Febrônio, M. V.; Bonfá, E.; Borba, E. F.; Takiuti, A. D.; Silva, C. A. A.
- Abstract
Menstrual cycles of 30 patients with juvenile systemic lupus erythematosus (JSLE) were compared with 30 age-matched controls. The mean age of patients with JSLE and controls was similar (17.4 ± 3.2 vs 17.06 ± 2.08 years, P = 0.66). The mean menarche age was higher in JSLE than controls (13.13 ± 1.4 vs 11.56 ± 1.5 years, P = 0.0008). On the contrary, the mean maternal menarche age was similar in both groups (P = 0.62). Menstrual abnormalities and longer length cycles were more frequently observed in JSLE than controls (63% vs 10%, P = 0.0001; 23% vs 0%, P = 0.0105, respectively). The median of follicle stimulating hormone was significantly higher in patients with JSLE compared with controls (4.6 vs 3.4 IU/L, P = 0.0207), and the median of progesterone was lower (32.5 vs 70 ng/mL, P = 0.0033). The median of luteinizing hormone was lower in patients with JSLE with menstrual abnormalities versus normal cycles (2.9 vs 5.5 IU/L, P = 0.019) and both had a high percentage of decreased progesterone levels (63% vs 73%, P = 0.70). Our findings support the notion that menstrual disturbances are frequent and may be associated with pituitary dysfunction leading to a decreased progesterone production. We also reported that in spite of premature ovarian failure being a rare event in JSLE the follicular reserve seems to be low regardless of intravenous cyclophosphamide treatment.
- Subjects
SYSTEMIC lupus erythematosus; PROGESTERONE; LUTEINIZING hormone; MENSTRUAL cycle; WOMEN'S health
- Publication
Lupus, 2009, Vol 18, Issue 1, p38
- ISSN
0961-2033
- Publication type
Article
- DOI
10.1177/0961203308094652