Primary amenorrhea associated with hirsutism, acanthosis nigricans, dermoid cysts of the ovaries and a new type of insulin resistance.

Abstract

We describe a 15 1/2 year old presenting with primary amenorrhea, hirsutism, acanthosis nigricans and insulin resistance. Ovarian vein catheterization studies revealed bilateral excess plasma testosterone and androstenedione secretion, and at surgery multiple dermoid cysts of both ovaries were found in association with polycystic ovaries. The suggestion that the dermoid cysts may be causative in the evolution of the polycystic ovarian disease has been made. The mechanism of the insulin resistance appears to be at the post receptor level. The acanthosis nigricans diminished following surgery with normalization of the plasma androgens.

• Authors: J Imperato-McGinley, R E Peterson, E Sturla, Y Dawood, R S Bar
• Journal: The American journal of medicine (Am J Med) Vol. 65 Issue 2 Pg. 389-95 (Aug 1978) ISSN: 0002-9343 [Print] United States
• PMID: 686026 (Publication Type: Case Reports, Journal Article)

Chemical References

• Testosterone
• Androstenedione

Topics

• Acanthosis Nigricans (etiology)
• Adolescent
• Amenorrhea (etiology)
• Androstenedione (metabolism)
• Dermoid Cyst (complications, diagnosis, physiopathology)
• Female
• Hirsutism (etiology)
• Humans
• Insulin Resistance
• Ovarian Neoplasms (complications, diagnosis, physiopathology)
• Ovary (physiopathology)
• Testosterone (metabolism)