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J Am Assoc Gynecol Laparosc. 1994 Aug;1(4, Part 2):S17-8.

Association of Chlamydia IgG Titers with Laproscopic Findings of Dystrophic Calcification and Hydrosalpinges but not with Endosalpingiosis

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Baptist Memorial Hospital, University of Tennessee Memphis, 910 Madison, Suite 805, Memphis, TN 38103.


Psammoma bodies are discrete forms of dystrophic calcification which represent cross-sections of calcified papillary formations. At laparoscopy, these have been confused with both endometriosis and cancer. A recent abstract (Khare et al: AAGL, 1993) reported the association of peritoneal psammoma bodies (grain-like inclusions) with positive IgG chlamydia titers (p=0.012). The purpose of this study is to investigate a possible correlation of chlamydia IgG titers with endosalpinges. Histologic slides and charts of 60 consecutive women were reviewed in a blinded fashion for calcification, hydrosalpinx, endosalpingiosis, and other significant changes. Although dystrophic calcification and hydrosalpinges were associated with positive chlamydia IgG titers (p<0.05), endosalpingiosis was found in only one patient. This study confirms previous studies in showing a relationship of chlamydia IgG titers with dystrophic calcification and hydrosalpinges but did not demonstrate a relationship with endosalpingiosis.


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