Publications by authors named "Carolina Fux Otta"

Article Synopsis
  • Excessive androgen levels in postmenopausal women are often due to hormonal imbalances, primarily a rapid decline in estrogen and a slower decrease in androgens, alongside lower levels of sex hormone-binding globulin.
  • *Hyperandrogenism poses risks such as increased cardiovascular issues, gynecological cancers, and negative effects on women's emotional health, making proper evaluation essential for treatment.
  • *Common symptoms women may experience include facial hair growth and hair loss; sudden onset or severe symptoms warrant further investigation for potential tumors, with diagnosis assisted by medical history, testosterone level testing, and imaging studies.
View Article and Find Full Text PDF

Insulin autoimmune syndrome or Hirata's disease is a rare condition characterized by hypoglycemia associated with endogenous autoimmune hyperinsulinism. This report concerns the case of a 28-year-old Latin American woman with Graves' disease who developed insulin autoimmune syndrome and then subsequently became pregnant. She displayed symptoms related to severe hypoglycemia due to hyperinsulinemia, elevated C-peptide, and anti-insulin antibodies.

View Article and Find Full Text PDF

COVID-19 is known to have deleterious effects on different systems such as the respiratory, cardiovascular, central nervous, and gastrointestinal. However, conflicting data about the possible implications for male reproductive health and fertility have been reported. In addition, the long-term consequences of SARS-CoV-2 infection remain unclear.

View Article and Find Full Text PDF

Introduction: Pituitary incidentalomas (PIs) are lesions found incidentally in the pituitary on imaging performed for reasons unrelated to pituitary disease.

Methods: A cross-sectional, retrospective and descriptive study was carried out with the aim of analyzing the clinical and evolutionary characteristics of a population of patients with PIs in the city of Córdoba.

Results: A total of 67 patients were included, 67% female, with a median age at diagnosis of 44 years.

View Article and Find Full Text PDF
Article Synopsis
  • La enfermedad de Cushing (EC) es poco común en el embarazo y puede causar complicaciones tanto para la madre como para el feto.
  • Se presenta el caso de una mujer de 29 años con EC que, tras un tratamiento inicial con cirugía y luego con dosis bajas de cabergolina, logró un embarazo sin complicaciones.
  • A pesar de que los síntomas de EC reaparecieron durante el primer trimestre, el tratamiento con cabergolina controló la enfermedad, permitiendo que la paciente diera a luz a una niña sana a las 38 semanas, proporcionando evidencia positiva sobre la seguridad de este medicamento en embarazadas con EC.
View Article and Find Full Text PDF

Introduction:: Cushing's disease (CD) is rare during pregnancy and is associated with significant maternal and fetal complications. The aim was to report the case of a patient with CD who achieved pregnancy and delivery without complications after treatment with low doses of cabergoline.

Methods:: A 29-year-old woman diagnosed with CD (ACTH-secreting macro-tumor that produces displacement of the optic chiasm, infiltrates the right cavernous sinus and includes the internal carotid artery).

View Article and Find Full Text PDF

Background: Clitoromegaly is often a sign of androgen excess; however, non-hormonal causes must be ruled out. We report the case of an adolescent with isolated clitoromegaly without clinical or biochemical evidence of hyperandrogenism.

Case: A 16-year-old female was referred due to a clitoromegaly of 12 months of evolution.

View Article and Find Full Text PDF

Endocrine disruptors (EDs) are those chemical substances capable of interfering with hormonal homeostasis, altering the synthesis, function, storage and / or metabolism of hormones. These substances are found in the environment and in a wide variety of products for daily use, so human exposure is permanent. Animal experiments have confirmed the capacity of EDs to induce reproductive disorders, which is why it has been suggested that they could be an important factor in causing human subfertility.

View Article and Find Full Text PDF

Introduction: Acromegaly prevalence is 35-70 / million. Transsphenoidal surgery is the first-line treatment, with a remission rate of 80% for microadenomas and 50% for macroadenomas. Our aim was to evaluate the surgical results in Córdoba and determine predictive remission factors due to the lack of records.

View Article and Find Full Text PDF

Background: Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) outbreak originated in Wuhan (China) rapidly turned into a pandemic. Due to a national compulsive decree of quarantine, office visits for chronic disease control were delay. Hypopituitarism includes all clinical conditions that result in partial or complete failure of the pituitary gland's ability to secrete hormones.

View Article and Find Full Text PDF

Pregnancy complications and obstetric outcomes were compared in 80 Chilean (PPCOS) and 70 Argentinian (PPCOS) pregnant women. Reference groups of Chilean and Argentinian normal pregnant women from the same antenatal care units were also compared. PPCOS showed a higher prevalence of gestational diabetes mellitus (GDM) (OR, 2.

View Article and Find Full Text PDF

Unlabelled: Polycystic ovary syndrome (PCOS) is characterized by hyperandrogenism (H), oligo-anovulation (O) and / or polycystic ovaries (P). There is currently little information on perinatal complications.

Objective: to investigate obstetric and neonatal characteristics of women with PCOS in our population.

View Article and Find Full Text PDF

Unlabelled: The prolactinomas are the most common functioning pituitary tumors. The hyperprolactinemia is associated with anovulation and infertility.

Objectives: a) describe the relationship between hyperprolactinemia and fertility, b) review the results of the use of dopamine agonists during pregnancy and embryo-fetal development and c) review the therapeutic management in micro and macroprolactinomas during pregnancy.

View Article and Find Full Text PDF

Objective: to evaluate the different presentations of hyperandrogenism produced by ovarian tumors in women at different life stages

Design: case report.

Setting: academic institutions.

Patient(s): 3 patients at different life stages, with increased androgen levels.

View Article and Find Full Text PDF

Objective: To evaluate the metabolic profile of Chilean and Argentinian women with polycystic ovary syndrome (PCOS) according to the Rotterdam criteria.

Design: Observational cross-sectional study.

Setting: Academic centers.

View Article and Find Full Text PDF

Polycystic ovary syndrome (PCOS), the most common gynecological endocrinopathy in women of reproductive age, is characterized by hyperandrogenism, chronic anovulation and /or polycystic ovaries. Although the cause of PCOS is still unknown, there are several hypotheses attempting to explain the primary defect; the most commonly accepted is insulin resistance. Due to its high prevalence, the patients have increased risk of developing metabolic and cardiovascular alterations.

View Article and Find Full Text PDF

The aim of this study was to evaluate the effects of metformin in addition to diet and exercise on endocrine and metabolic disturbances in women with polycystic ovary syndrome (PCOS) in a prospective, double-blind, randomized, placebo (PBO) control trial. Thirty women with insulin resistance and PCOS received lifestyle modification and 1500 mg of metformin or placebo for 4 months. Before and after treatment, body mass index, waist/hip ratio, blood pressure, hirsutism, and menstrual patterns were evaluated.

View Article and Find Full Text PDF

Objective: To provide a framework for the clinical presentation, evolution, treatment, and outcome of the unusual association between primary adrenal insufficiency (AI) during pregnancy and life-threatening complications for the mother and fetus.

Design: Case reports.

Setting: Pregnant women with AI treated in the Endocrine and Diabetes Department, Hospital Universitario de Maternidad y Neonatología, Córdoba, Argentina.

View Article and Find Full Text PDF