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Abstract

RÉSUMÉ
Le syndrome des ovaires polymicrokystiques (SOPMK) est la cause la plus fréquente de troubles de l'ovulation et d'hyperandrogénie. Bien qu'étant très fréquent, il doit rester un diagnostic d'élimination, ce qui impose d'écarter toutes les autres causes de troubles du cycle et/ou d'hyperandrogénie Les auteurs décrivent un cas de SOPMK associé à une hypothyroïdie périphérique. Il s'agissait d'une patiente âgée de 29 ans ; sans antécédents médico-chirurgicaux et gynéco-obstétricaux, venue en consultation externe d'endocrinologie pour une aménorrhée évoluant depuis un an. L’association d’arguments biologiques (dosages hormonaux) et radiologiques (échographie thyroïdienne et pelvienne) a permis de retenir le diagnostic de SOPMK associé à une hypothyroïdie. L'aménorrhée est un motif fréquent de consultation dont la complexité du diagnostic étiologique constitue la hantise du spécialiste. La nécessite d'une investigation plus approfondie s'impose telle que le dosage de la testostéronémie, de la prolactinémie, de la TSHus
ABSTRACT
Polymicrocystic ovary syndrome (PCOS) is the most common cause of ovulation disorders and hyperandrogenism. Although very frequent, it must be a diagnosis of elimination, which means ruling out all other causes of cycle disorders and/or hyperandrogenism The authors describe a case of PCOS associated with peripheral hypothyroidism. The patient was 29 years old, with no previous medical, surgical or gynecological-obstetrical history, and came to the endocrinology outpatient clinic with amenorrhea that had been progressing for one year. A combination of biological (hormone assays) and radiological (thyroid and pelvic ultrasound) findings led to the diagnosis of PCOS associated with hypothyroidism. Amenorrhea is a frequent reason for consultation, and the complexity of the etiological diagnosis is the specialist's main concern. The need for a more in-depth investigation, such as testosteronemia, prolactinemia, TSHus, etc., is emphasized.

Keywords

Polycystic Ovary Syndrome Peripheral hypothyroidism Diagnostic trap Hospital of Mali Syndrome des Ovaires Polykystiques Hypothyroïdie périphérique

Article Details

How to Cite
A Koné, DS Sow, M Mariko, MB Diallo, B Traoré, DY Traoré, AA Drago, AT Touré, S Fofana, Attikleme S M, & AT Sidibé. (2024). Dysovulation due à un Syndrome des Ovaires Polykystiques Associé à une Hypothyroïdie Périphérique. HEALTH SCIENCES AND DISEASE, 25(3). https://doi.org/10.5281/hsd.v25i3.5397

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