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Revista chilena de obstetricia y ginecología

versión On-line ISSN 0717-7526

Resumen

BORQUE I, Amparo et al. Sindrome de Marshall- Smith en mujer adulta. Nuevos retos en anticoncepción. Rev. chil. obstet. ginecol. [online]. 2017, vol.82, n.4, pp.466-468. ISSN 0717-7526.  http://dx.doi.org/10.4067/s0717-75262017000400466.

A 38-year-old female patient with a history of Marshall-Smith syndrome is reported. It is a rare congenital disorder of unknown aetiology, which features include craneo facial dysmorphism, accelerated bone maturation, neurodevelopmental abnormalities, and upper and lower airways compromise. Long term survival is a problem due to respiratory complications, but it has decreased since airway support has improved, and that allows survival into adulthood. Our patient has neither intelectual nor psychomotor delay, so she asks for contraception method. As a rare genetic condition it needs to be attended with special consideration in order to reduce the disorder's transmission and to increase the life's quality of patients.

A secure contraception method should be offered with no risk at all, attending to medical elegibility criteria for contraception use. We considered progestogen-only options and the patient's choice was etonogestrel subcutaneous implant.

Palabras clave : Marshall-Smith syndrome; Long Acting Reversible Contraception.

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