J Korean Soc Endocrinol.  2005 Oct;20(5):524-530. 10.3803/jkes.2005.20.5.524.

A Case of Fetal Alcohol Syndrome with Secondary Amenorrhea

Affiliations
  • 1Department of Internal Medicine, School of Medicine, Catholic University of Daegu, Korea.

Abstract

Alcohol ingestion during pregnancy can be damaging to embryonic and fetal development. A specific pattern of malformation, identified as Fetal alcohol syndrome, has been documented in 1~2 of every 1,000 live infant births Fetal alcohol syndrome is characterized by growth deficiency, facial abnormalities, cardiac defects, minor joint and limb abnormalities, as well as central nervous system dysfunction, including microcephaly, mental retardation and abnormal neurobehavioral development. However, there are few reports of fetal alcohol syndrome associated with hormonal abnormality or amenorrhea. Recently, a case of secondary amenorrhea, which developed in a 19-year-old woman with fetal alcohol syndrome, was experienced at our institute, but the exact cause of the amenorrhea was difficulty to find. Herein, this case is reported, with a review of the literature.


MeSH Terms

Amenorrhea*
Central Nervous System
Eating
Embryonic and Fetal Development
Extremities
Female
Fetal Alcohol Spectrum Disorders*
Humans
Infant
Intellectual Disability
Joints
Microcephaly
Parturition
Pregnancy
Young Adult

Figure

  • Fig. 1 Chromosomal analysis shows normal karyotype (46XX).

  • Fig. 2 Abdominopelvic CT shows that uterus and ovaries are unremarkable.

  • Fig. 3 Brain MRI Shows hypogenesis of the corpus callosum with colpocephaly (A) and ectopic neurohypophysis at the pituitary stalk (B).


Reference

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