[由于草药补充剂导致的库希综合征]
Yvonne H M Krul-Poel1,2, Toine F H Bovee3, Eric J F Franssen4
1OLVG locatie West, afd. Interne Geneeskunde, Amsterdam.
Nederlands tijdschrift voor geneeskunde
|July 11, 2024
概括
外源性库辛综合征可能是由于Binahong等草药补充剂中隐藏的葡萄糖皮质类药物造成的. 停止补充剂使皮质醇水平正常化,突出了补充剂意识的必要性.
科学领域:
- 内分泌学 在内分泌学.
- 药理学 药理学是指药理学的学科.
- 草药的安全性 草药的安全性
背景情况:
- 外源性葡萄皮质类药物是库希综合征的常见原因.
- 补充剂中未披露的葡萄皮质激素构成了诊断挑战.
研究的目的:
- 报告外源性库辛综合征的病例,原因是常见的草药补充剂.
- 强调查补充剂对隐藏的葡萄皮质激素的重要性.
主要方法:
- 一个54岁的妇女的病例介绍,她有库辛综合征的症状.
- 生物化学评估包括血清皮质醇和ACTH水平.
- 草本补充剂对合成葡萄皮质激素的查.
主要成果:
- 患者出现体重增加,高血压和控制不良的糖尿病.
- 身体检查显示有过多类固醇的迹象.
- 草药补充剂分析证实了甲的存在,导致皮质醇和ACTH水平的抑制.
结论:
- 草药补充剂可能含有未公开的葡萄皮质类药物,导致外源性库辛综合征.
- 停止服用受污染的补充剂导致激素水平正常化.
- 临床医生必须保持对补充剂诱导的内分泌病变的高度怀疑指数.
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