From: Ovarian dysfunction in adolescent girls with autoimmune rheumatic diseases
 | Adolescent girls Median (Minimum to Maximum | |||||
---|---|---|---|---|---|---|
 | JSLE (n = 21) | JIA (n = 23) | JDM (n = 8) | |||
Menstrual abnormalities (n = 10) | Normal cycle (n = 11) | Menstrual abnormalities (n = 4) | Normal cycle (n = 19) | Menstrual abnormalities (n = 1) | Normal cycle (n = 7) | |
Disease duration (years) | 2.5 (0.2-5) | 2 (1–5) | 5.5 (2–8) | 3 (1–10) | 5.5 (5.5–5.5) | 6 (4–7) |
Age of menarche | 13 (0–15) | 12 (11–13) | 13 (11–14) | 12 (11–14) | 0 (0–0) | 12 (11–13) |
Age of puberty onset | 13 (0–15) $ | 12 (11–13) $ | 13 (11–14) | 12 (11–14) | 0 (0–0) | 12 (11–13) |
Disease activity and damage indices | ||||||
Activity index/MYOACT | 7 (4–25) | 6 (2–20) | 1 (0–2) | 4 (0–33) | 30 (30–30) | 8 (0–12) |
Damage index/MITAX | 2 (0–4) $ | 0 (0–2) $ | 4 (4–4) | 2 (1-2.5) | 30 (30–30) | 4 (0–7) |
Hormonal assessment | ||||||
Estradiol (pg/mL) | 28.1 (11.5–30.5) | 28.7 (20.2–43.2) | 30.0 (8.3–40.4) | 27.6 (22.6–42.4) | 19.9 (19.9–19.9) | 23.7 (20.4–28.5) |
Follicular stimulating hormone (mIU/L) | 4.4 (2.8–8.3) | 5.6 (3.8–9.3) | 5.4 (2-8.3) | 5.8 (2.7–8.2) | 0.8 (0.8–0.8) | 4.8 (3.5–8.5) |
Luteinizing hormone (mIU/L) | 4.5 (0.8–14.7) | 5.3 (1.5–17) | 3.1 (0.2–5.9) | 5.0 (1.4–15) | 0.1 (0.1–0.1) | 4.5 (3-7.7) |
Prolactin (ng/mL) | 12.7 (1.5–20) | 17.0 (5–22) | 20.6 (13.3–29) | 14.3 (1.6–27.4) | 5.5 (5.5–5.5) | 11 (4.8–22.8) |
U/S evaluation | ||||||
Right ovarian volumes (cm3) | 9 (4–11) | 8 (6–11) | 6 (6–11) | 7 (5–11) | 4 (4–4) | 7 (5–7) |
Left ovarian volumes (cm3) | 6 (4–13) | 7 (6–12) | 9 (6–11) | 6 (5–12) | 4 (4–4) | 7 (5–7) |
Diameter of the endometrium (cm) | 7 (4–11) | 6 (6–11) | 8 (6–12) | 6 (5–11) | 4 (4–4) | 6 (6–6) |
Cumulative dose of steroid (gm) *@ | 6 (3.6–30) $ | 4.3 (0.2–14) $ | 0.5 (0-3.6) | 0.5 (0–10) | 20.8 (20.8–20.8) | 0.05 (0.02 to 3.6) |
Other treatment lines N (%) | 10 (100.0) | 11 (100.0) | 4 (100.0) | 19 (100.0) | 1 (100.0) | 6 (85.7) |
Cyclophosphamide use N (%) | 4 (40) | 0 (0.0) | 0 (0.0) | 0 (0.0) | 0 (0.0) | 0 (0.0) |
Cumulative dose of cyclophosphamide (gm) | 6 (6–6) | 0 (0.0) | 0 (0.0) | 0 (0.0) | 0 (0.0) | 0 (0.0) |