临床过程和X链 adrenoleukodystrophy 内分泌功能障碍:一个案例系列
Tânia Matos1, Cristiana Costa1, Alexandra Novais Araújo1
1Endocrinology Department, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, EPE, Lisbon, Portugal.
Endocrinologia, diabetes y nutricion
|June 25, 2023
概括
与X相关的上腺核衰竭 (X-ALD) 经常伴有上腺功能不充分,即使在成年时也是如此. 神经症状各不相同,这突显了对X-ALD患者的早期查和多学科护理的需要.
科学领域:
- 内分泌学 在内分泌学.
- 神经学 神经学
- 遗传学 遗传学 是一个
背景情况:
- 与X相关的上腺核缩症 (X-ALD) 是一种影响神经系统和上腺的过氧体性疾病.
- 上腺髓质神经病 (AMN) 是最常见的X-ALD表型,但上腺功能不充分往往是男性的初始迹象.
研究的目的:
- 详细介绍X-ALD患者的临床和生化特征.
- 分析临床进展,专注于内分泌功能障碍.
主要方法:
- 对10名男性X-ALD患者的回顾性分析.
- 评估流行病学数据,表型,内分泌/神经学发现和家族病史.
主要成果:
- 所有患者都患上了上腺功能不全;40%的患者在成年后出现了这种情况 (平均年龄为19.6岁).
- 在60%的患者中,发生了矿物甲类皮质缺乏症. 最初的表型是只有阿迪森 (80%) 或AMN (20%).
- 诊断后4年,AMN发生在4名患者中;大脑形式出现在2名患者中.
结论:
- X-ALD的表现有多样性,包括成人开始的上腺功能衰竭和可变的神经进展.
- 在一些家庭中观察到临床过程的相似性.
- 在上腺功能不充分的情况下,对X-ALD的查至关重要,需要内分泌学家和神经学家之间的合作.
关键词:
上腺功能不充分的情况.上腺核细胞扩散症联结体 al X X上腺素的一体神经病.上腺核髓单元性神经病变上腺功能不全的情况非常长链脂肪酸 非常长链脂肪酸与X结合的 adrenoleukodystrophy与X结合的 adrenoleukodystrophy是指X结合的 adrenoleukodystrophy与X结合的 adrenoleukodystrophy是指X结合的 adrenoleukodystrophy与X结合的 adrenoleukodystrophy是指X结合的 adrenoleukodystrophy与X结合的 adrenoleukodystrophy是指X结合的 adrenoleukodystrophy与X结合的 adrenoleukodystrophy是指X结合的 adrenoleukodystrophy与X结合的 adrenoleukodystrophy脂肪酸的链条非常长.相关概念视频
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