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Re: sjogren's syndrome From: Michel Briex (mbriex@alienor.fr) Thu Nov 28 05:28:56 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Michel Briex: "Re: Delivery of the impacted head" Previous message: James E. Sumners: "cervical cerclage" Maybe in reply to: Michel Briex: "sjogren's syndrome" At 13:41 27/11/96 -0600, you wrote: >A few questions first. In this patient is hyperplasia a pathologic >diagnosis or from visual inspection alone? Often patients who have been >treated with progestins have a very thickened hyperemic appearing >endometrium. Almost like a decidual reaction in pregnancy. An >endometrial biopsy should be done. You may find an intense lymphocytic >infiltration in which case hormonal therapy may not be the answer. > >Is the patient interested in future reproductive function? It is rather >unusual to have a premenopausal woman with Sjogren's Syndrome. Does she >have a normal uterus with respect to size and configuration? An MRI may >demonstrate adenomyosis or small miliary like fibromas. Perhaps an >ultrasound would be another diagnostic test to consider. > >What other manifestations of Sjogrens does she have? > >Interesting case...let us know more details. > >Douglas Krell MD FACOG >douglas.krell@nsionline.com > Hyperplasia is a visual inspection alone, i'm waiting for endometrial biopsy results. During hysteroscopy I found a normal uterus for size and configuration.Before hysteroscopy ultrasound exam show endometrium hyperplasia but nothing else. This patient is interested in future reproductive function, she has for this time no need for contraception because she is a virgin. At this time, she has some clinical manifestations such as neck, knee and hip arthritis. Thanks for your help M.Briex Next message: Michel Briex: "Re: Delivery of the impacted head" Previous message: James E. Sumners: "cervical cerclage" Maybe in reply to: Michel Briex: "sjogren's syndrome"

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