Human Reproduction, Vol 12, 2115-2117, Copyright © 1997 by Oxford University Press
C Di Carlo, P Bruno, D Cirillo, R Morgera, M Pellicano and C Nappi
We report for the first time increased concentrations of aldosterone and
renin in a case of spontaneous, recurrent, familial, severe ovarian
hyperstimulation syndrome (OHSS). High concentrations of Ca125 were also
found. Our patient was a 26 year old woman, gravida 2, para 1, affected by
severe OHSS, who denied having ever consumed any ovulation drug. Both the
patient and her only sister had suffered from a similar condition in their
previous pregnancies. The patient was treated with i.v. fluid therapy.
Paracentesis was performed on one occasion. The patient was dismissed after
25 days in good condition. Blood count and blood chemistry confirmed the
severity of the clinical picture. We conclude that spontaneous OHSS,
although very rare, may have been underestimated so far. It can be
recurrent and may also be familial. The intra-ovarian
prorenin-renin-angiotensin system may play a role in its aetiopathogenesis.
ARTICLES
Increased concentrations of renin, aldosterone and Ca125 in a case of spontaneous, recurrent, familial, severe ovarian hyperstimulation syndrome
Department of Obstetrics and Gynaecology, University of Naples Federico II, Italy.
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