脂肪肝疾病 沿着库希综合征 进化 演变
Maria Marengo1, Claire Briet1,2, Mathilde Munier1,2,3
1Department of Endocrinology, Diabetology and Nutrition, Angers University Hospital, 49100 Angers, France.
The Journal of clinical endocrinology and metabolism
|August 28, 2024
概括
库希综合征经常伴有代谢综合征和肝硬化症. 这项研究发现,26.5%的患者在诊断时患有与代谢功能障碍相关的脂肪性肝病 (MASLD),与糖尿病和高甘油三相关.
科学领域:
- 内分泌学 在内分泌学.
- 肝病学 肝病学是一种肝病学.
- 代谢综合征是代谢综合征的一种.
背景情况:
- 库希综合征经常与代谢综合征同时发生.
- 代谢综合征与肝脏肥胖症密切相关,这是代谢功能障碍相关的肥胖性肝病 (MASLD) 的关键组成部分.
研究的目的:
- 为了确定Cushing综合征诊断时的MASLD的流行率.
- 调查库辛综合征患者的代谢因素和MASLD之间的关联.
主要方法:
- 对49名库辛综合征患者进行了回顾性单中心研究,并进行了腹部成像.
- 通过CT扫描的肝脏/脏密度比率诊断出肝脏肥胖症.
- 纤维化预测得分 (FIB-4,NAFLD纤维化得分,eLIFT) 为患有肥胖症的患者计算.
主要成果:
- 被诊断为MASLD的肝肥胖症在13名 (26.5%) 患者中存在,他们被诊断为库辛综合征.
- 患有MASLD的患者出现了较高的2型糖尿病和高甘油的发病率.
- 两个患有MASLD的患者 (15.4%) 显示了可预测显著纤维化的得分;3/4的患者在治疗库辛综合征后经历了肥胖症缓解.
结论:
- 库辛综合征诊断时肝硬化病 (MASLD) 的患病率估计为26.5%.
- 代谢因素与库辛综合征中肝硬化症的发展有显著的关联.
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