Persistent low levels of beta-hCG in a patient with recurrent pregnancy loss.
BACKGROUND
A subset of women with persistent low levels of beta-hCG have undergone potentially harmful treatments despite no evidence of pregnancy or gestational trophoblastic neoplasia.


METHODS
A 37-year-old woman with a history of recurrent pregnancy loss presented with persistent low levels of beta-hCG. She was treated for ectopic pregnancy and retained products and was later suspected of having a malignancy. However, further evaluation of her human chorionic gonadotropin led to a diagnosis of quiescent gestational trophoblastic disease.


CONCLUSIONS
A diagnosis of quiescent gestational trophoblastic disease should be considered in all patients who present with persistent low levels of beta-hCG, including those with recurrent pregnancy loss.
Vu
Julie
J
From Mercy Hospital, Chicago, Illinois.
Meyer
Catherine
C
Porto
Susan
S
D000026:Abortion, Habitual / Q000097:blood*; D000328:Adult; D018997:Chorionic Gonadotropin, beta Subunit, Human / Q000097:blood*; D005260:Female; D031901:Gestational Trophoblastic Disease / Q000097:blood / Q000175:diagnosis*; D006801:Humans; D011247:Pregnancy
D018997:Chorionic Gonadotropin, beta Subunit, Human