Hypertension and Hypertriglyceridemia in an Adolescent Girl Revealing Polycystic Ovary Syndrome: A Case Report

Abstract

Polycystic ovary syndrome (PCOS) is a common clinical condition that manifests during adolescence with menstrual irregularities, acne and hirsutism. Patients with PCOS, especially with hyperandrogenic phenotype, are exposed to several cardiometabolic risk factors that increase their chance for developing hypertension. Little is known about the association between serum testosterone level and blood pressure in young women with PCOS but many of the symptoms associated with PCOS have been shown to be associated with increases in blood pressure, such as increases in body mass index and the presence of metabolic syndrome, with its accompanying insulin resistance and type 2 diabetes. We report the case of an 18-year-old female patient with no specific history who presented with edema of the lower limbs at the time of menstruation and in whom the clinical examination showed high blood pressure with signs of hyperandrogenism and hypertriglyceridemia in the biological work-up, leading to the search for a PCOS. After a well-adapted management the patient kept a well-balanced blood pressure with a lipidic balance which was normalized only by hygienic and dietetic rules.