内分泌石化耳朵:耳部化/骨化中的相关内分泌条件 (以样本为中心的分析)
Ana Valea1,2, Claudiu Nistor3,4, Mihai-Lucian Ciobica4,5
1Department of Endocrinology, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.
Diagnostics (Basel, Switzerland)
|June 27, 2024
概括
石化耳朵 (PE),耳软骨的化或骨化,其原因尚不清楚. 这份审查强调了与PE相关的内分泌条件,提出了一个新的术语和评估工作流程.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 内分泌学 在内分泌学.
- 病理学 病理学 病理学
背景情况:
- 石化耳朵 (PE),以耳软骨的化或骨化为特征,病原性特征不明.
- 对于PE的内分泌评估缺乏标准化的协议,需要进一步调查相关的荷尔蒙和代谢因素.
研究的目的:
- 审查关于石化耳朵的最新数据,重点关注其与内分泌和非内分泌条件的关联.
- 分析PE的表现,诊断工具,荷尔蒙评估,活检发现,结果和病原特征.
- 提出术语"内分泌石化耳朵"和评估其激素背景的工作流程.
主要方法:
- 从2000年1月到2024年3月,PubMed的综合文献审查.
- 包括75名PE受试者从案例报告,系列和回顾性成像研究中.
- 重新分析和重新分类内分泌PE (EPE) 病例,包括新案例介绍.
主要成果:
- 最终的EPE队列 (N=50) 显示上腺功能不充分 (36%) 是最常见的内分泌疾病,其次是下腺 (22%) 和甲状腺功能低下 (18%).
- 在上腺功能衰竭的患者中,39%患有亚迪逊病;初级甲状腺功能低下症占甲状腺功能低下症病例的72%.
- 在18%的EPE病例中诊断出内分泌自身免疫成分.
结论:
- 石化耳朵与各种内分泌疾病有关,特别是上腺功能不充分,下垂体,甲状腺功能低下.
- 提出的术语"内分泌石化耳朵"和标准化的工作流程可以帮助评估PE的荷尔蒙背景.
- 需要进一步的研究来阐明PE与内分泌功能障碍相关的致病机制.
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