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在患有青少年异常性关节炎的患者内分泌功能障碍
Sayan Mukherjee1, Abilash Krishnan Vijayakumaran1, Mukesh Kumar Maurya1
1Department of Clinical Immunology and Rheumatology, King George's Medical University, Lucknow, India.
Pediatric rheumatology online journal
|April 24, 2025
概括
内分泌功能障碍影响了三分之一的青少年异质性关节炎 (JIA) 儿童,影响了生长和青春期. 改变生长激素-胰岛素样生长因子1 (GH-IGF1) 轴是导致JIA患者出现这些疾病的主要原因.
科学领域:
- 儿科风湿病学 儿科风湿病学
- 儿科内分泌学 儿科内分泌学
- 增长和发展 增长和发展
背景情况:
- 青少年异常性关节炎 (JIA) 是一种影响儿童的慢性疾病,具有潜在的全身影响.
- 内分泌功能障碍可以显著影响儿童群体的生长和性发展.
- 了解这些影响对于全面的JIA管理至关重要.
研究的目的:
- 为了确定被诊断为JIA的儿童内分泌功能障碍的患病率.
- 确定导致JIA患者生长和性发育受损的因素.
- 研究生长激素-胰岛素类生长因子1 (GH-IGF1) 轴的作用.
主要方法:
- 进行了一项前性观察性研究,涉及107名患有JIA (疾病持续时间超过6个月) 的儿童.
- 评估包括基线人口统计,人体测量和荷尔蒙评估,在一年后记录增长速度.
- 统计分析采用了曼-惠特尼U测试,奇平方测试和费舍尔的精确t测试.
主要成果:
- 20.6%的JIA患者发育迟缓,22.4%的体重不足,25.2%的BMI低,与疾病发病,持续时间,损伤和活动相关.
- 体重相对于年龄的z-score较低的儿童表现出高水平的生长激素 (GH) 和低水平的IGF结合蛋白3 (IGFBP3).
- 晚期青春期发生在2.8%的患者中; 雌激素水平较低的女孩显示长时间暴露于皮质类固醇. 22.4%的人有不明原因的增长速度减慢.
结论:
- 大约三分之一的患有JIA的儿童经历了生长和青春期障碍.
- 增长激素-胰岛素类生长因子1 (GH-IGF1) 轴是这些发育问题的主要因素.
- 早期发现和治疗内分泌功能障碍对于JIA患者至关重要.
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