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Van Wyk and Grumbach syndrome
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Van Wyk and Grumbach syndrome : ウィキペディア英語版
Van Wyk and Grumbach syndrome
The Van Wyk and Grumbach syndrome is defined by a combination of hypothyroidism, precocious puberty (usually with delayed bone age) and ovarian cysts in pre- and post-pubertal girls.
== Mechanism and symptoms ==
The presumed pathogenesis is that primary hypothyroidism causes enlargement and hyperstimulation of the pituitary gland which in turn cause ovarian hyperstimulation, ovarian cysts and precocious puberty.
Further symptoms are ascites, pleural and pericardial effusions, elevated ovarian tumour markers, enlarged pituitary gland and elevated prolactin and alpha-fetoprotein levels.

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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