获得的纤维细胞生长因子的形式与23相关的低酸性骨髓炎
Nobuaki Ito1,2, Naoko Hidaka1,2, Hajime Kato1,2
1Division of Nephrology and Endocrinology, The University of Tokyo Hospital, Tokyo, Japan.
Endocrinology and metabolism (Seoul, Korea)
|March 11, 2024
概括
纤维细胞生长因子23 (FGF23) 调节酸盐水平. 本综述详细介绍了与FGF23相关的获得的低酸性拉基斯/骨髓 (FGF23rHR) 及其差异诊断,有助于准确的治疗.
科学领域:
- 内分泌学 在内分泌学.
- 代谢性骨疾病 代谢性骨疾病
- 遗传学 是一个遗传学.
背景情况:
- 纤维细胞生长因子23 (FGF23) 对酸盐平衡至关重要.
- 与FGF23相关的低酸性恶心/骨质疏松症 (FGF23rHR) 包括遗传和获得的形式.
- 瘤诱导的骨质疏松症 (TIO) 是最常见的获得的FGF23rHR.
研究的目的:
- 审查获得的FGF23rHR,包括TIO,宫外FGF23综合征,纤维性发育不良以及药物/酒精诱导的FGF23rHR.
- 为获得的FGF23rHR.概述差异诊断方法.
- 为各种FGF23rHR条件提出治疗选择.
主要方法:
- 获得FGF23rHR的文献综述.
- 讨论临床特征,诊断和治疗.
- 强调差异诊断以避免不必要的程序.
主要成果:
- 在TIO之外,多个被收购的FGF23rHR实体被确定.
- 准确的差异诊断可以降低成本和侵入性测试.
- 一些形式,如铁或酒精诱导的形式,在病原体停止时就会消失.
结论:
- 对于内分泌学家来说,认识到获得FGF23rHR的各种原因是必不可少的.
- 一种系统的诊断方法可以改善患者的管理.
- 在特定的FGF23rHR案例中,有针对性的停止违规行为可能会导致完全恢复.
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