胰腺炎的PHPT:PHPT的非典型表现
Yuvraj Devgan1, Sabaretnam Mayilvaganan1, Anjali Mishra1
1Department of Endocrine Surgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Rae Bareilly Road, Lucknow, Uttar Pradesh, India.
Indian journal of endocrinology and metabolism
|February 19, 2024
概括
原发性偏甲状腺症 (PHPT) 与胰腺炎有关,在8.03%的病例中,通常影响年轻人. 通过手术切除副甲状腺瘤,所有患者的胰腺炎症状都消失了,这凸显了即使水平正常,也需要考虑PHPT的重要性.
科学领域:
- 内分泌学 在内分泌学.
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
背景情况:
- 原发性偏甲状腺症 (PHPT) 很少与急性或慢性胰腺炎有关.
- 这种关联需要复杂的外科手术期间管理策略.
研究的目的:
- 为了确定患有PHPT的患者胰腺炎的流行率.
- 在这个患者队伍中描述胰腺炎的临床和病理特征.
主要方法:
- 对患者的病历进行了临床病理学分析.
- 收集了1989年至2021年期间被诊断患有PHPT和胰腺炎的患者的数据.
主要成果:
- 胰腺炎发生在8.03% (44/548) 的PHPT病例中.
- 大多数受影响的患者是年轻人 (平均年龄为33.57岁),观察到急性和慢性胰腺炎.
- 腹部疼痛是主要症状;副甲状腺切除术在所有情况下都导致胰腺炎完全消失.
结论:
- 胰腺炎是PHPT的一个显著但不常见的并发症,主要影响年轻人.
- 在患有胰腺炎的年轻患者中,即使有正常血症,也应该怀疑PHPT.
- 副甲状腺切除术是解决与PHPT相关的胰腺炎的有效治疗方法.
相关概念视频
Chronic Pancreatitis I: Introduction
89
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
89
Acute Pancreatitis II: Clinical Manifestations and Management
124
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
124
Acute Pancreatitis I: Introduction
361
Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
361
Chronic Pancreatitis II: Collaborative Care
90
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
90
The Parathyroid Glands
2.1K
The two pairs of parathyroid glands embedded within the posterior surface of the thyroid gland are restricted by a dense capsule around them. These glands comprise two distinct cell populations—parathyroid oxyphil and parathyroid principal cells- pivotal in calcium homeostasis.
Oxyphil cells, whose functions remain elusive, emerge during late puberty, adding a layer of complexity to the parathyroid gland's intricacies. In contrast, principal parathyroid cells undertake a vital role by...
Oxyphil cells, whose functions remain elusive, emerge during late puberty, adding a layer of complexity to the parathyroid gland's intricacies. In contrast, principal parathyroid cells undertake a vital role by...
2.1K
Gastritis-II: Pathophysiology
326
Gastritis is marked by disruption of the mucosal barrier that usually protects the stomach tissue from digestive juices and manifests in acute and chronic forms.
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
326


