在患有库辛综合征的患者中进行血管缩
Noa Tal1, Serguei Bannykh2, Thomas Learch3
1Division of Endocrinology, Diabetes, and Metabolism, Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA.
JCEM case reports
|February 6, 2025
概括
库希综合征 (CS) 可以导致无血管缩 (AVN),这是一个罕见的关节疾病. 这一案例凸显了在CS患者中考虑AVN的必要性,即使在治疗后,以防止关节损伤.
科学领域:
- 内分泌学 在内分泌学.
- 整形外科 整形外科 整形外科
- 病理学 病理学 病理学
背景情况:
- 库希综合征 (CS) 涉及长期过多的葡萄糖皮质类药物,可能导致无血管缩 (AVN).
- AVN是外源性葡萄糖皮质类药物治疗的已知并发症,但在内源性CS中未被认可.
- 亚临床表现和罕见性有助于在CS中延迟诊断AVN.
研究的目的:
- 在患有库辛病的患者中报告双边部和肩部AVN病例.
- 强调在内源性CS患者中考虑AVN的重要性.
- 倡导在CS患者中探索AVN的查策略.
主要方法:
- 一个71岁的男性患有库辛病的病例报告.
- 临床表现,诊断工作和治疗过程的描述.
- 审查AVN作为CS的并发症.
主要成果:
- 患者出现了双边部AVN,随后是双边肩部AVN.
- 尽管在库辛病的手术和放射性手术后实现了生化缓解,但AVN仍在发展.
- 这一案例凸显了报告不足以及在内源性CS中延迟识别AVN的可能性.
结论:
- 血管亡是库辛综合征的一个重要但罕见的并发症.
- 早期发现和查AVN对于CS患者至关重要,以防止不可逆转的关节损伤和残疾.
- 对高危CS患者的查策略进行进一步的研究是有必要的.
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