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Immunologic Basis of Premature Ovarian Failure (A Case Related Clinical Review)
Prematür Ovaryan Yetmezliğinin İmmünolojik Temeli
U. KUYUMCUOĞLU, N.E. ATTAR, O. ÜNAL, A.F. DEMİRCİ
Ministry of Health, Zeynep Kamil Maternity Hospital, İSTANBUL
Turkiye Klinikleri J Gynecol Obst. 1992;2(1):28-31
Article Language: TR
Copyright Ⓒ 2024 by Türkiye Klinikleri. This is an open access article under the CC BY-NC-ND license (
http://creativecommons.org/licenses/by-nc-nd/4.0/)
ÖZET
Prematür ovaryan yetmezlikli 10 hasta çalışmaya alındı. Bunlardan 6'sının ailesinin en az bir bireyinde amenore veya idiopatik ovaryan yetmezlik vardı. Geri kalan 4 hastanın birinin kız kardeşinde meme kanseri, erkek kardeşinde de diabetes mellitus vardı. Bu hastalarda antiovaryan antikor bakıldı, beyaz küre, lenfosit, B ve BT lenfosit sayımı yapıldı. Ailesinde meme kanseri ve diabetes mellitus olan hastada otoantikor dağılımı ölçüldü. Hastaların yakın akrabalarında da antiovaryan antikor bulundu. İki hastada antiovaryan antikor pozitif bulundu (%20). Ailesinde meme kanseri ve diabet olan hastada antinükleer antikor ve pozitifti (%10). Antiovaryan antikor pozitif olan iki hastanın yakın akrabalarında da pozitif bulundu. Otoantikoru yüksek olan hastalarda orta derecede yüksek B lenfosit, hafif derecede de yüksek beyaz küre, lenfosit ve T lenfosit saptandı.
ABSTRACT
10 patients with premature ovarian failure were studied. Among the families of 6 of these, at least one member in each family was found to have had amenorrhoea or idiopathic premature ovarian failure. Among the remaining 4 patients one had a sister who had breast cancer and a brother suffering from diabetes mellitus. These patients were tested for antiovarian antibody, counts of white blood cells (WBC). Lymphocytes, B cells and T celles. The patient with a family history of breast cancer and diabetes mellitus was tested for a range of autoantibodies. Next of kin of the patients were also tested for antiovarian antibody. 2 of the patients were positive for antiovarian antibody (20%). The patient with a family history of breast cancer and diabetes mellitus was positive for antinuclear antibody (10%). Also the next of kin of two antibody positive for patients were found positive for antiovarian antibody. Patients with autoantibodies had moderately higher B cell counts, but slightly elevated WBC, lymphocyte and T cell counts.