伪内分泌疾病:识别,管理和行动
1Division of Endocrinology, Metabolism and Diabetes, University of Colorado Denver School of Medicine, Aurora, CO 80045, USA.
Journal of the Endocrine Society
|January 3, 2025
概括
伪内分泌疾病,如上腺疲劳,是未经证实的疾病,经常被诊断并用危险的,非基于证据的疗法治疗. 患者管理需要教育,改变生活方式和富有同情心的护理,而不是未经验证的治疗.
科学领域:
- 内分泌学 在内分泌学.
- 内部医学 内部医学
- 医学上的错误信息.
背景情况:
- 伪内分泌疾病是未经证实的,在网上宣传的疾病.
- 常见的例子包括上腺疲劳,威尔逊综合征,反向T3综合征和误诊的阴性腺.
- 这些疾病往往是用未经验证和潜在的危险疗法来治疗的.
研究的目的:
- 批判性地评估常诊断的伪内分泌疾病的科学有效性.
- 突出与未经证实的诊断方法和治疗方法相关的风险.
- 提出基于证据的方法来管理表现出这些疾病的症状的患者.
主要方法:
- 审查科学文献和临床指导方针.
- 对上腺疲劳,威尔逊综合征,逆T3综合征和阴性腺的诊断标准和治疗方案的分析.
- 对自身免疫疾病中低剂量纳尔特雷 (LDN) 的证据基础的评估.
主要成果:
- 上腺疲劳,威尔逊综合征和逆T3综合征缺乏科学验证.
- 这些条件的测试通常涉及未经验证的方法 (例如,调查,温度).
- 治疗方法可能包括危险的激素疗法 (例如高剂量T3,超生理) 和未经证实的干预措施 (例如LDN).
- 错误诊断的催眠症会导致终身的丸激素依赖和不良影响.
结论:
- 伪内分泌疾病没有得到科学认可,通常是基于错误的信息.
- 诊断和治疗依赖于未经验证的方法,并带有重大健康风险.
- 管理层应该优先考虑患者教育,健康生活方式的改变,以及诚实,富有同情心的沟通,而不是未经证实的疗法.
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