title: Hyperreactio luteinalis in pregnancy.
abstract: OBJECTIVE
  To report a case of hyperreactio luteinalis diagnosed in pregnancy.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Teaching hospital.
  
  
  METHODS
  A 30-year-old primigravida presenting with painful multicystic ovarian enlargement and subsequent virilizing features.
  
  
  METHODS
  Conservative management.
  
  
  METHODS
  Successful pregnancy resulting in the live birth of a female infant with no gross abnormalities.
  
  
  RESULTS
  On investigation, she developed elevated serum androgen levels and had sonographically the characteristic "spoke wheel" appearance of hyperreactio luteinalis. The patient was managed symptomatically with normal outcomes and a return postnatally to before pregnancy features.
  
  
  CONCLUSIONS
  An uncommon clinical presentation in obstetrics in which conservative management can result in good outcomes.
authors.affiliation: Department of Obstetrics and Gynaecology, The Royal Oldham Hospital, Oldham, United Kingdom. christian_amoah@yahoo.co.uk
authors.forename: Christian
authors.initials: C
authors.lastname: Amoah
authors.forename: Ahmed
authors.initials: A
authors.lastname: Yassin
authors.forename: Eimear
authors.initials: E
authors.lastname: Cockayne
authors.forename: Alice
authors.initials: A
authors.lastname: Bird
mesh_terms: D000728:Androgens / Q000097:blood; D015415:Biomarkers / Q000097:blood; D018997:Chorionic Gonadotropin, beta Subunit, Human / Q000097:blood; D005260:Female; D006801:Humans; D050498:Live Birth; D010048:Ovarian Cysts / Q000097:blood / Q000175:diagnosis / Q000209:etiology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000097:blood / Q000175:diagnosis / Q000209:etiology; D016216:Ultrasonography, Prenatal; D015854:Up-Regulation; D014770:Virilism / Q000097:blood / Q000175:diagnosis / Q000209:etiology
chemical_list: D000728:Androgens; D015415:Biomarkers; D018997:Chorionic Gonadotropin, beta Subunit, Human