巨细胞性大血症:临床实践的小型综述和更新
Katherine Koniares1, Claudio Benadiva1, Lawrence Engmann1
1The Center for Advanced Reproductive Services, Division of Reproductive Endocrinology and Infertility, University of Connecticut School of Medicine, Farmington, Connecticut.
F&S reports
|September 18, 2023
概括
巨乳腺素血症 (macroprolactinemia) 是导致乳腺素水平升高的常见原因,但往往没有被诊断出来. 查宏益生菌素 (宏-PRL) 对于避免不必要的不孕症治疗至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 生殖医学 生殖医学
背景情况:
- 超益生菌血是常见的内分泌不孕症原因,影响15%-20%的女性患有寡妇.
- 血清蛋白 (PRL) 的升高可以抑制下丘脑-垂体-阴茎轴,扰乱生殖功能.
- 人类益乳素存在于单体,二元和宏PRL (大-大PRL),宏PRL是高分子量形式.
研究的目的:
- 为了突出宏芽细胞血症的流行和诊断挑战.
- 强调区分宏芽细胞血症与真正的单质高芽细胞血症的重要性.
- 倡导在患有血清蛋白水平升高的患者中对宏观PRL进行例行查.
主要方法:
- 审查现有关于益生菌变异及其临床意义的文献.
- 分析超益生菌血症患者中巨型益生菌血症的患病率.
- 讨论诊断影响和管理策略.
主要成果:
- 在10%-46%的患有高甲状腺素血症的患者中,已发现大甲状腺素血症.
- 巨细胞性血症可能导致误诊,导致不必要的垂体成像和多巴胺激动剂治疗.
- 在适当的患者管理中,区分宏芽细胞血症和单体高芽细胞血症至关重要.
结论:
- 所有患有持续升高的益生菌素水平的患者都应接受宏观PRL查.
- 精确诊断巨型乳腺素血症可以预防阳性并发症,并确保适当的不孕症治疗.
- 在生殖内分泌学中,早期识别巨细胞性血症可以改善患者的治疗结果.
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