Abnormally Elevated Follicle-Stimulating Hormone (FSH) Level in an Infertile Woman

We report a case of 33-year-old woman with a 4-year primary infertility. A high isolated follicle-stimulating hormone (FSH) level was conflicting with the clinical situation and with other hormonal markers which were in favor of polycystic ovarian syndrome. We followed a strategy used to identify im...

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Main Authors: Aurore Catteau, Kalyane Bach-Ngohou, Justine Blin, Paul Barrière, Thomas Fréour, Damien Masson
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Endocrinology
Online Access:http://dx.doi.org/10.1155/2019/3071649
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author Aurore Catteau
Kalyane Bach-Ngohou
Justine Blin
Paul Barrière
Thomas Fréour
Damien Masson
author_facet Aurore Catteau
Kalyane Bach-Ngohou
Justine Blin
Paul Barrière
Thomas Fréour
Damien Masson
author_sort Aurore Catteau
collection DOAJ
description We report a case of 33-year-old woman with a 4-year primary infertility. A high isolated follicle-stimulating hormone (FSH) level was conflicting with the clinical situation and with other hormonal markers which were in favor of polycystic ovarian syndrome. We followed a strategy used to identify immune complexes involving FSH. The PEG precipitation test revealed that the high FSH level was almost exclusively due to the presence of autoimmune FSH immunoglobulin complex (macro-FSH). The profile obtained by gel filtration chromatography confirmed the presence of an FSH-immunoglobulin complex. Such immunological dysregulation could be explored in cases of unexplained infertility and recurrent IVF failure.
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institution Kabale University
issn 2090-6501
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language English
publishDate 2019-01-01
publisher Wiley
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series Case Reports in Endocrinology
spelling doaj-art-d3edfcee22db48158626c903e5e3f4e82025-02-03T05:47:29ZengWileyCase Reports in Endocrinology2090-65012090-651X2019-01-01201910.1155/2019/30716493071649Abnormally Elevated Follicle-Stimulating Hormone (FSH) Level in an Infertile WomanAurore Catteau0Kalyane Bach-Ngohou1Justine Blin2Paul Barrière3Thomas Fréour4Damien Masson5Laboratoire de biochimie, Institut de Biologie, CHU de Nantes, Nantes, FranceLaboratoire de biochimie, Institut de Biologie, CHU de Nantes, Nantes, FranceLaboratoire de biochimie, Institut de Biologie, CHU de Nantes, Nantes, FranceFaculté de médecine, Université de Nantes, Nantes, FranceFaculté de médecine, Université de Nantes, Nantes, FranceLaboratoire de biochimie, Institut de Biologie, CHU de Nantes, Nantes, FranceWe report a case of 33-year-old woman with a 4-year primary infertility. A high isolated follicle-stimulating hormone (FSH) level was conflicting with the clinical situation and with other hormonal markers which were in favor of polycystic ovarian syndrome. We followed a strategy used to identify immune complexes involving FSH. The PEG precipitation test revealed that the high FSH level was almost exclusively due to the presence of autoimmune FSH immunoglobulin complex (macro-FSH). The profile obtained by gel filtration chromatography confirmed the presence of an FSH-immunoglobulin complex. Such immunological dysregulation could be explored in cases of unexplained infertility and recurrent IVF failure.http://dx.doi.org/10.1155/2019/3071649
spellingShingle Aurore Catteau
Kalyane Bach-Ngohou
Justine Blin
Paul Barrière
Thomas Fréour
Damien Masson
Abnormally Elevated Follicle-Stimulating Hormone (FSH) Level in an Infertile Woman
Case Reports in Endocrinology
title Abnormally Elevated Follicle-Stimulating Hormone (FSH) Level in an Infertile Woman
title_full Abnormally Elevated Follicle-Stimulating Hormone (FSH) Level in an Infertile Woman
title_fullStr Abnormally Elevated Follicle-Stimulating Hormone (FSH) Level in an Infertile Woman
title_full_unstemmed Abnormally Elevated Follicle-Stimulating Hormone (FSH) Level in an Infertile Woman
title_short Abnormally Elevated Follicle-Stimulating Hormone (FSH) Level in an Infertile Woman
title_sort abnormally elevated follicle stimulating hormone fsh level in an infertile woman
url http://dx.doi.org/10.1155/2019/3071649
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