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  • 1 Borsod-Abaúj-Zemplén Megyei Kórház és Egyetemi Oktató Kórház Csecsemő- és Gyermekosztály Miskolc Pf. 188 3501
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A polycystás ovarium szindróma heterogén kórkép, amelyet a krónikus ovulációs zavar és hyperandrogenismus jellemez. A szindrómához társuló különböző anyagcserezavarok rontják a betegek életminőségét és életkilátását. A reproduktív korú nők 6–8%-ában fordul elő. Felnőttkorban a szindróma diagnózisát általában három diagnosztikai kritérium alapján állapítják meg. A kórkép a pubertáskorban is felismerhető; bár a klinikai, hormonális és a metabolikus tünetek hasonlóak a felnőtt nőkéhez, nehéz a tüneteket az egészséges serdülők fiziológiás állapotától elkülöníteni. Szabálytalan anovulációs ciklusok és acnék nem ritkák a serdülő leányok körében. Serdülőkorban a polycystás ovarium szindróma fiziológiás pubertáskori anovulációt utánozhat. Nagy a valószínűsége polycystás ovarium szindrómának, ha az anovulációs tünetek tartósan fennállnak (több mint két évig). Serdülőkben a polycystás ovarium szindróma diagnosztizálása különleges kritériumokat igényel, amelyhez jelenleg még nem állnak rendelkezésre általánosan elfogadott ajánlások. A szerzők véleménye szerint a hyperandrogenaemia gyakran a legmegbízhatóbb lelet ebben a korcsoportban, és a serdülőkori polycystás ovarium szindróma diagnózisához az úgynevezett rotterdami konszenzuskritériumok megbízhatóan alkalmazhatók. A gyermekkori elhízás növelheti a polycystás ovarium szindróma tüneteinek súlyosságát, és fontossá teszi a korai és pontos diagnózis megállapítását. Orv. Hetil., 2013, 154, 136–142.

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