揭开不常见的:怀孕期间库希斯病的病例系列
Ravi Shah1, Subin S1, Vanita Suri2
1Endocrinology, Postgraduate Institute of Medical Education and Research, Chandigarh, IND.
Cureus
|September 3, 2024
概括
怀孕期间的库辛病往往因为重叠的症状而被忽略. 本文强调了三个病例,并讨论了这种罕见疾病的诊断和管理策略.
科学领域:
- 内分泌学 在内分泌学.
- 产科和妇科 产科和妇科
- 生殖医学 生殖医学
背景情况:
- 库希氏病 (CD) 经常导致阴性双胞胎缺陷和不孕.
- 怀孕可以掩盖CD症状,如体重增加和,使诊断复杂化.
- 在怀孕期间及时诊断CD对于母亲和胎儿的健康至关重要.
研究的目的:
- 为了呈现怀孕期间错过的库辛病例.
- 讨论孕妇CD的诊断和管理策略.
- 提高孕妇患有非特异性症状的CD的认识.
主要方法:
- 在怀孕期间或怀孕后诊断出库辛病的三名患者的病例系列介绍.
- 对临床表现,诊断工作和治疗结果的审查.
- 讨论妊娠中CD的诊断挑战和管理方法.
主要成果:
- 三个案例说明了由于症状重叠而在怀孕期间诊断CD的困难.
- 延迟诊断可能导致长期暴露于高皮质醇症.
- 成功的管理需要多学科的方法.
结论:
- 在怀孕期间诊断库辛病是具有挑战性的,但至关重要的.
- 早期识别和治疗CD可以改善母亲和孩子的结果.
- 对于持久或非典型症状的孕妇,有必要增加临床怀疑.
相关概念视频
Adrenal Gland Disorders
1.4K
Adrenal gland disorders manifest when the production of adrenal hormones deviates from the norm, resulting in either excessive or insufficient concentrations.
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
1.4K
Pathophysiology of Diabetes
908
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
908
Hypoglycemia and Glucagon
217
Without prolonged fasting, healthy individuals maintain blood glucose levels above 3.5 mM due to a well-adapted neuroendocrine counterregulatory system that effectively prevents acute hypoglycemia, a potentially life-threatening condition. The primary clinical scenarios for hypoglycemia encompass diabetes treatment, inappropriate production of endogenous insulin or insulin-like substances by tumors, and the use of glucose-lowering agents in non-diabetic individuals. Notably, hypoglycemia in the...
217
Ovarian Cycle
1.1K
The menstrual cycle includes a critical component known as the ovarian cycle, which undergoes two main phases each month—the follicular phase and the luteal phase. The follicular phase is variable and averaging around 14 days. Ovulation, triggered by a surge in luteinizing hormone (LH), marks the transition between the two phases. The second phase, the luteal phase, is relatively consistent, lasting approximately 14 days, and is marked by the activity of the corpus luteum. While a cycle...
1.1K


