A 14-year-old girl with premature ovarian insufficiency but with a positive pregnancy test

Objectives: Childhood cancer survivors are at risk for premature ovarian insufficiency, especially after treatment with alkylating agents. The objective of this report is to highlight a case in which this phenomenon caused a false-positive pregnancy test. Case presentation: A workup was performed in a 14-year-old girl with a positive pregnancy test. She was diagnosed with stage IV neuroblastoma of the left adrenal gland at the age of 4 years. She received extensive treatment, including alkylating agents, and had been diagnosed with premature ovarian insufficiency. An LH/hCG suppression test was performed using high dose 17 bèta-estradiol: hCG levels normalized. Conclusions: The pregnancy test was false-positive due to production of low amounts of hCG by the pituitary gland as a result of high LH concentrations following premature ovarian insufficiency. It may be helpful to perform the LH/hCG suppression test to prove pituitary origin of the hCG overproduction.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
A 14-year-old girl with premature ovarian insufficiency but with a positive pregnancy test ; volume:37 ; number:5 ; year:2024 ; pages:482-485 ; extent:04
The journal of pediatric endocrinology and metabolism ; 37, Heft 5 (2024), 482-485 (gesamt 04)

Urheber
Touwslager, Robbert N.H.
Zwaan, C. Michel
Bakker, Boudewijn
Lentjes, Eef G.W.M.
Looijenga, Leendert H.J.
van Santen, Hanneke M.

DOI
10.1515/jpem-2024-0019
URN
urn:nbn:de:101:1-2405041601257.083141229802
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
14.08.2025, 10:55 MESZ

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Beteiligte

  • Touwslager, Robbert N.H.
  • Zwaan, C. Michel
  • Bakker, Boudewijn
  • Lentjes, Eef G.W.M.
  • Looijenga, Leendert H.J.
  • van Santen, Hanneke M.

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