title: Hyperreactio luteinalis in a woman with high-risk factors. A case report.
abstract: BACKGROUND
  Hyperreactio luteinalis is a rare condition characterized by multicystic and bilateral ovarian enlargement associated with high maternal human chorionic gonadotropin serum levels.
  
  
  METHODS
  A case of spontaneous twin pregnancy, polycystic kidney and thyrotoxicosis was treated conservatively.
  
  
  CONCLUSIONS
  In this case, hyperreactio luteinalis was associated with twin pregnancy in a woman with preexisting renal failure. The association of other endocrinopathies, such as hyperthyroidism and diabetes mellitus, creates a clinical problem that could be quite hazardous in pregnancy if this association is not detected.
authors.affiliation: Department of Gynecology, Perinatology and Human Reproduction, University of Florence, Viale Morgagni, 85, 50134 Florence, Italy. cocciame@tin.it
authors.forename: Maria Elisabetta
authors.initials: ME
authors.lastname: Coccia
authors.forename: Lucia
authors.initials: L
authors.lastname: Pasquini
authors.forename: Cino
authors.initials: C
authors.lastname: Comparetto
authors.forename: Gianfranco
authors.initials: G
authors.lastname: Scarselli
mesh_terms: D000328:Adult; D002585:Cesarean Section; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016471:Ovarian Hyperstimulation Syndrome / Q000150:complications / Q000175:diagnosis*; D007690:Polycystic Kidney Diseases / Q000150:complications / Q000175:diagnosis*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis*; D011256:Pregnancy Outcome; D018566:Pregnancy, High-Risk; D011272:Pregnancy, Multiple; D011295:Prenatal Care; D013971:Thyrotoxicosis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D014427:Twins; D016216:Ultrasonography, Prenatal / Q000379:methods