Gynecologic assessment of 19 adult females with cartilage-hair hypoplasia - high rate of HPV positivity

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Holopainen , E , Vakkilainen , S & Mäkitie , O 2018 , ' Gynecologic assessment of 19 adult females with cartilage-hair hypoplasia - high rate of HPV positivity ' , Orphanet journal of rare diseases , vol. 13 , 207 .

Title: Gynecologic assessment of 19 adult females with cartilage-hair hypoplasia - high rate of HPV positivity
Author: Holopainen, Elina; Vakkilainen, Svetlana; Mäkitie, Outi
Contributor organization: Department of Obstetrics and Gynecology
University of Helsinki
Children's Hospital
Lastentautien yksikkö
HUS Children and Adolescents
Date: 2018-11-16
Language: eng
Number of pages: 7
Belongs to series: Orphanet journal of rare diseases
ISSN: 1750-1172
Abstract: BackgroundPatients with cartilage-hair hypoplasia (CHH), a rare metaphyseal chondrodysplasia, manifest severe growth failure, variable immunodeficiency and increased risk of malignancies. The impact of CHH on gynecologic and reproductive health is unknown. Vulnerability to genital infections may predispose CHH patients to prolonged human papillomavirus (HPV) infections potentially leading to cervical, vaginal and vulvar cancer.MethodsWe carried out gynecologic evaluation, pelvic ultrasound and laboratory assessment in 19 women with genetically confirmed CHH. All patients were clinically examined and retrospective data were collected from hospital records.ResultsThe women ranged in age from 19.2 to 70.8years (median 40.8years) and in height from 103 to 150cm (median 123cm). All women had undergone normal pubertal development as assessed by breast development according to Tanner scale and by age of menarche (mean 12.5yrs., range 11-14yrs). Despite significant short stature and potentially small pelvic diameters, a well-developed uterus with fairly normal size and shape was found by pelvic ultrasound in mostof the patients. Ovarian follicle reserve, assessed by ultrasound was normal in relation to age in all premenopausal women it could be assessed (12 cases). Anti-Mullerian hormone was normal in relation to age in 17 women (89%). HPV was detected in 44% (8/18) and three women carried more than one HPV serotype; findings did not associate with immunological parameters. Three patients had a concurrent cell atypia in Pap smear.ConclusionsPubertal development, reproductive hormones and ovarian structure and function were usually normal in women with CHH suggesting fairly normal reproductive health. However, the immunodeficiency characteristic to CHH may predispose the patients to HPV infections. High prevalence of HPV infections detected in this series highlights the importance of careful gynecologic follow up of these patients.
Subject: Skeletal dysplasia
Human papillomavirus
3123 Gynaecology and paediatrics
Peer reviewed: Yes
Rights: cc_by
Usage restriction: openAccess
Self-archived version: publishedVersion

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