新生儿症状在儿科异常发病性生长激素缺乏症:患病率和见解
Giorgio Sodero1,2,3, Donato Rigante1,4, Clelia Cipolla1
1Department of Life Sciences and Public Health, Fondazione Policlinico Universitario A. Gemelli, IRCCS, 00168 Rome, Italy.
Children (Basel, Switzerland)
|May 1, 2025
概括
新生儿低血糖症发生在27.9%的患有异常生长激素缺乏症 (GHD) 的儿科患者中. 虽然其他GHD症状很少见,但这一发现对于对矮身儿童的临床评估很重要.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 新生儿医学 新生儿医学
- 遗传学 是一个遗传学.
背景情况:
- 生长激素缺乏 (GHD) 是儿童矮身的一个主要原因.
- 新生儿GHD症状在遗传/有机GHD病例中是已知的,但在异常性GHD中不清楚.
- 异形性GHD缺乏可识别的遗传或有机原因.
研究的目的:
- 为了确定新生儿GHD症状在异形性GHD患者的患病率.
- 为了比较异形性GHD和对照组之间的新生儿症状频率.
主要方法:
- 对190名异常性GHD患者的病历进行了回顾性分析.
- 包括一个年龄和性别匹配的对照组.
- 检查常见的新生儿GHD的迹象和症状.
主要成果:
- 低血糖是最常见的症状 (27.9%),明显高于对照组 (p=0.000016).
- 长期黄 (>5天) 在19.5%的患者中发生.
- 高血糖和食困难较少发生 (8.9%).
结论:
- 新生儿GHD的迹象和症状在异形性GHD中通常不常见.
- 新生儿低血糖症是一个值得注意的例外,在超过四分之一的患者中观察到.
- 调查新生儿病史,特别是低血糖症,有助于临床评估异常性GHD.
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