两例隐蔽类固醇使用案例被发现 使用尿液合成葡萄皮质激素测试
1Division of Endocrinology, Department of Internal Medicine, University of Kentucky, Lexington, KY 40504, USA.
JCEM case reports
|November 13, 2023
概括
罕见的患者秘密滥用类固醇,导致虚假的库辛综合征和复杂的诊断. 对合成葡萄皮质激素的尿液检测确定了原因,在两个案例中防止了不必要的侵入性手术.
科学领域:
- 内分泌学 在内分泌学.
- 临床医学 临床医学
背景情况:
- 隐蔽的类固醇使用可以模仿内源性疾病.
- 未被诊断的类固醇滥用可能导致虚假的库辛综合征.
- 这可能会导致广泛和潜在的侵入性诊断工作.
研究的目的:
- 介绍两例隐蔽合成葡萄皮质类药物使用的案例.
- 突出这些病例所带来的诊断挑战.
- 为了证明特定的尿液测试在澄清诊断中的实用性.
主要方法:
- 病例报告介绍了两名患有不明原因症状的患者.
- 对临床表现和实验室发现的审查.
- 合成葡萄糖皮质醇尿液测试以检测外源性类固醇使用.
主要成果:
- 案例1:对三氨醇乙化物和流他 propionate 呈阳性.
- 案例2:对三氨乙化物呈阳性.
- 尿液检测证实,这两名患者都使用了隐藏的类固醇.
结论:
- 合成葡萄糖皮质醇尿液检测对于诊断虚假的库希综合征至关重要.
- 识别隐蔽的类固醇使用可以防止广泛和不必要的测试.
- 这种诊断方法简化了复杂的临床表现.
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