Idiopathic orthostatic cyclic edema as a unique etiology for vasomotor flushing in a normal estrogenic woman with normal day 3 follicle stimulating hormone--case report.
OBJECTIVE
To describe a unique cause and therapy for vasomotor flushing.


METHODS
Serum follicle stimulating hormone (FSH) and estradiol, renal and liver function studies and urinalysis were performed as well as a water load test.


RESULTS
All laboratory tests were normal but the water load test showed inadequate four-hour urine excretion when she was erect but normal when supine. Complete relief from vasomotor symptoms occurred shortly after treatment with sympathomimetic amines.


CONCLUSIONS
Idiopathic orthostatic cyclic edema can cause vasomotor flushing even with normal estrogen and serum FSH, and treatment of the edema state with the drug of choice dextroamphetamine sulfate can effectively control these symptoms.
Check
J H
JH
The University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School at Camden, Cooper Hospital/University Medical Center, Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology & Infertility, Camden, NJ, USA.
Katsoff
D
D
Kaplan
H
H
D000328:Adult; D003913:Dextroamphetamine / Q000627:therapeutic use; D004487:Edema / Q000188:drug therapy / Q000503:physiopathology*; D004958:Estradiol / Q000097:blood; D005260:Female; D005640:Follicle Stimulating Hormone / Q000097:blood*; D019584:Hot Flashes / Q000188:drug therapy / Q000503:physiopathology*; D006801:Humans; D007677:Kidney Function Tests; D008111:Liver Function Tests; D011187:Posture / Q000502:physiology*; D013566:Sympathomimetics / Q000627:therapeutic use; D016482:Urinalysis
D013566:Sympathomimetics; D004958:Estradiol; D005640:Follicle Stimulating Hormone; D003913:Dextroamphetamine