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Ovarian cysts in prepubertal girls.
[aromatase deficiency]
Visualization
of
follicles
is
perfectly
physiological
during
childhood
,
their
diameter
generally
does
not
exceed
10
mm
.
Ovarian
cyst
in
childhood
is
well
defined
for
a
fluid
image
>
20
mm
.
Generally
mild
and
asymptomatic
,
ovarian
cysts
are
fluid
formations
usually
discovered
incidentally
by
ultrasound
.
Some
are
hormonally
active
and
cause
the
development
of
sexual
characteristics
.
The
natural
history
of
functional
cysts
is
eventual
regression
,
and
persistence
is
suggestive
of
organic
tumor
.
The
onset
of
pain
is
a
sign
of
complication
,
and
an
abrupt
sharp
pain
with
vomiting
is
suggestive
of
ovarian
torsion
,
in
which
case
surgical
intervention
is
urgent
.
In
all
cases
,
the
diagnosis
is
based
on
pelvic
ultrasound
.
MRI
and
tumor
marker
assays
are
required
to
determine
the
nature
of
an
organic
cyst
before
proceeding
to
surgery
.
These
cysts
may
appear
functional
from
the
fetal
period
onward
and
will
require
management
from
the
first
days
of
life
.
Certain
endocrine
disorders
such
as
precocious
puberty
,
hypothyroidism
,
and
aromatase
deficiency
cause
functional
cysts
in
girls
.
Recurrent
bleeding
is
due
to
hormonally
active
cysts
and
suggests
McCune-Albright
syndrome
.
Although
the
persistence
of
a
cyst
suggests
a
neoplasm
,
a
fluid
character
indicates
benignity
.
Imagery
is
a
useful
aid
in
the
diagnosis
of
epithelial
tumors
(
cystadenomas
)
or
teratoma
(
dermoid
cyst
)
.
Diseases
Validation
Diseases presenting
"pain"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
aniridia
aromatase deficiency
carcinoma of the gallbladder
cholangiocarcinoma
coats disease
congenital diaphragmatic hernia
congenital toxoplasmosis
cushing syndrome
cutaneous mastocytosis
cystinuria
dedifferentiated liposarcoma
dentin dysplasia
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial mediterranean fever
focal myositis
hirschsprung disease
hodgkin lymphoma, classical
holt-oram syndrome
junctional epidermolysis bullosa
kabuki syndrome
kindler syndrome
lamellar ichthyosis
liposarcoma
locked-in syndrome
lymphangioleiomyomatosis
malignant atrophic papulosis
neuralgic amyotrophy
oligodontia
oral submucous fibrosis
papillon-lefèvre syndrome
phenylketonuria
pleomorphic liposarcoma
primary hyperoxaluria type 1
proteus syndrome
pyomyositis
scrub typhus
sneddon syndrome
systemic capillary leak syndrome
thoracic outlet syndrome
trochlear dysplasia
typhoid
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
wolf-hirschhorn syndrome
This symptom has already been validated