[体育类固醇为体育运动的二次性缩性凝结体病:一系列案例]
Roberta Passaro1, Pierluigi D'Angiò2, Simona Laurino2
1Dipartimento di Sanità Pubblica, Università degli Studi di Napoli "Federico II", Napoli, Italia.
概括
在健美中滥用类固醇可以导致脏损伤,特别是焦点细分细胞凝结症 (FSGS). 在运动员中长期使用导致两例快速功能衰竭.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 运动医学 运动医学
- 毒理学 毒理学 毒理学
背景情况:
- 类固醇类固醇 (AAS) 的滥用在健美运动中很普遍,对器官有潜在的不良影响.
- 损伤,包括焦点细分细胞凝聚硬化 (FSGS) 和末期病 (ESKD),已与AAS使用有关.
研究的目的:
- 在使用AAS的健美运动员中报告三起损伤病例.
- 检查这些运动员病的组织学发现和临床进展.
- 讨论健美运动员损伤的多因素风险,包括AAS,补充剂和高蛋白饮食.
主要方法:
- 三名健美运动员功能受损的案例系列.
- 分析功能指数和与AAS和补充剂摄入相关的病史.
- 脏活检的组织病理学检查,专注于FSGS崩的变种.
主要成果:
- 这三名运动员在长期使用AAS后都表现出功能受损.
- 脏活检在所有病例中都显示了FSGS崩变体.
- 两名运动员经历了快速进展到需要透析的末期病 (ESKD).
- 第三名运动员患有慢性功能衰竭,经过保守管理.
结论:
- 长期使用合成代谢类固醇 (AAS) 可以导致严重的损伤,包括FSGS.
- 健美运动员面临来自AAS,补充剂和高蛋白饮食的多种毒风险.
- 早期识别和干预对于减轻AAS滥用运动员的损伤至关重要.
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