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患有初级线粒体疾病的儿童内分泌疾病:单一中心体验
Esra Deniz Papatya Çakır1, Melike Ersoy2, Nihan Çakır Biçer3
1University of Health Sciences Türkiye, Bakırköy Dr. Sadi Konuk Training and Research Hospital, Clinic of Pediatric Endocrinology, İstanbul, Türkiye
Journal of clinical research in pediatric endocrinology
|August 8, 2024
概括
线粒体疾病 (MD) 可以出现内分泌异常,影响近四分之一的儿科患者. 早期内分泌评估对于识别MD患者的荷尔蒙缺陷至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 遗传学 遗传学是一种遗传学.
- 儿科 儿科 儿科
背景情况:
- 主要线粒体疾病 (MD) 仅通过内分泌异常表现出来.
- 评估MD患者的内分泌学概况对于早期诊断和管理至关重要.
研究的目的:
- 在患有线粒体疾病 (MD) 的儿科队列中调查内分泌学特征的谱.
- 确定与MD特定遗传原因相关的荷尔蒙缺陷的患病率和类型.
主要方法:
- 在一个中心诊断出MD的儿科患者的回顾性分析.
- 基于遗传异常 (核DNA突变) 的分类.
- 收集辅助学数据,青春期发育和荷尔蒙状况.
主要成果:
- 在26名患者中,有46%是女性,57.6%因核DNA突变而患有MD.
- 常见的MD综合征包括利氏综合征,莱伯遗传性视神经病变,MELAS和凯恩斯-赛尔综合征.
- 23%的患者表现出荷尔蒙缺陷,包括卵巢功能不充分,上腺功能不充分,甲状腺功能低下和糖尿病.
结论:
- 患有MD的儿科患者,特别是那些已知的遗传异常患者,患激素缺陷的风险很高.
- 内分泌功能障碍可能是潜在线粒体疾病的主要早期指标.
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