Elevated Beta-Human Chorionic Gonadotropin in a Non-pregnant Female With Altered Kidney Function.
| Autor: | Ostreni I; Medicine, Touro College of Osteopathic Medicine, New York, USA., Colatosti A; Obstetrics and Gynecology, Brooklyn Hospital, Brooklyn, USA., Basile EJ; Internal Medicine, University of Florida College of Medicine, New York, USA., Rafa O; Internal Medicine, University at Buffalo, Buffalo, USA.; Medicine, Touro College of Osteopathic Medicine, New York, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2022 Apr 01; Vol. 14 (4), pp. e23747. Date of Electronic Publication: 2022 Apr 01 (Print Publication: 2022). |
| DOI: | 10.7759/cureus.23747 |
| Abstrakt: | Elevated beta-human chorionic gonadotropin (beta-hCG) levels in postmenopausal women is a finding known in the literature; however, it still commonly leads to unnecessary and extensive diagnostic workup. We present the case of a 48-year-old African-American postmenopausal female with acute kidney injury on chronic kidney disease (CKD) stage 5 and an incidental finding of elevated serum beta-hCG. Abdominal and transvaginal ultrasound showed no evidence of intrauterine or ectopic pregnancy or gestational trophoblastic disease. Menopausal status was confirmed with follicle-stimulating hormone (FSH) measurement, and following the improvement of renal status, beta-hCG levels were normalized to expected values for the patient's age group. The etiology of elevated beta-hCG was suspected to be from the pituitary as previous literature has shown decreasing beta-hCG levels in postmenopausal women following the administration of gonadotropin-releasing hormone (GnRH) antagonist. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Ostreni et al.) |
| Databáze: | MEDLINE |
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