KEGG   DISEASE: 乳汁漏出症
エントリ  
H01607                                                             
名称    
乳汁漏出症
概要    
Galactorrhea is a discharge of milk or a milk-like secretion from the breast in the absence of parturition or beyond six months' post-partum in a nonbreastfeeding woman. The condition is more common in women who are 20 to 35 years of age and in previously parous women. It is less common in children and nulligravid women. Galactorrhea also can occur in men. After infancy, galactorrhea usually is medication-induced. The most common pathologic cause of galactorrhea is a pituitary tumor. Other causes include hypothalamic and pituitary stalk lesions, neurogenic stimulation, thyroid disorders, and chronic renal failure. Tests for pregnancy, serum prolactin level and serum thyroid-stimulating hormone level, and magnetic resonance imaging are important diagnostic tools that should be employed when clinically indicated. The decision to treat patients with galactorrhea is based on the serum prolactin level, the severity of galactorrhea, and the patient's fertility desires. Dopamine agonists are the treatment of choice in most patients with hyperprolactinemic disorders. Medications causing hyperprolactinemia should be discontinued or replaced with a medication from a similar class with lower potential for causing hyperprolactinemia. For women who cannot breastfeed after childbirth for some reasons, various pharmacologic and nonpharmacologic interventions have been used to suppress lactation and relieve associated symptoms. Pharmacological options mainly involve dopamine agonist medications.
カテゴリ  
生殖器系疾患
階層分類  
ICD-11 による疾患分類 [BR:jp08403]
 18 妊娠, 分娩, 産褥
  主として産褥に関連する合併症
   JB46  分娩に関連する乳房または授乳の明示された疾患
    H01607  乳汁漏出症
治療薬   
ブロモクリプチンメシル酸塩 [DR:D00780]
カベルゴリン [DR:D00987]
コメント  
See also H01388
リンク   
ICD-11: JB46.6
ICD-10: O92.5 O92.6 N64.3
MeSH: D005687
文献    
  著者
Huang W, Molitch ME
  タイトル
Evaluation and management of galactorrhea.
  雑誌
Am Fam Physician 85:1073-80 (2012)
文献    
  著者
Leung AK, Pacaud D
  タイトル
Diagnosis and management of galactorrhea.
  雑誌
Am Fam Physician 70:543-50 (2004)
文献    
  著者
Pena KS, Rosenfeld JA
  タイトル
Evaluation and treatment of galactorrhea.
  雑誌
Am Fam Physician 63:1763-70 (2001)
文献    
  著者
Snellen M, Power J, Blankley G, Galbally M
  タイトル
Pharmacological lactation suppression with D2 receptor agonists and risk of postpartum psychosis: A systematic review.
  雑誌
Aust N Z J Obstet Gynaecol 56:336-40 (2016)
DOI:10.1111/ajo.12479
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