[儿童原发性副甲状腺炎症的临床多态性]
A R Benina1, A A Kolodkina1, N Yu Kalinchenko1
1Endocrinology Research Center.
概括
儿童的原发性副甲状腺症 (PHPT) 呈现出影响多个系统的多种症状. 虽然没有发现高血症严重程度和特定症状之间的直接联系,但较高的水平与更多的临床症状相关.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 代谢性骨疾病 代谢性骨疾病
- 平衡障碍 平衡障碍 平衡障碍
背景情况:
- 初级偏甲状腺症 (PHPT) 在儿童中很少见 (每10万人中2-5人),导致显著的胃肠道,尿道,肌肉骨和神经系统问题.
- 由于罕见和多样化的临床表现,诊断具有挑战性,影响及时干预.
研究的目的:
- 调查儿科患者PHPT的临床表现.
- 分析这些表现和高血症程度之间的关系.
主要方法:
- 一项对50名儿科PHPT患者进行的回顾性和前性观察性研究.
- 在2014-2023年期间进行了全面的实验室和仪器评估.
主要成果:
- 临床症状包括疲劳 (36%),胃肠道问题 (20%的恶心,38%的胃炎),尿道问题 (64%的高血症,36%的尿病) 和肌肉骨问题 (24%的腿痛,16%的骨折).
- 在高血症的严重程度和特定症状之间没有发现直接相关性,但存在更高水平的更多症状的趋势.
- 超性尿表显示出与高血症的积极关联,严重的高血症病例具有更多的临床症状.
结论:
- 儿童的PHPT表现出不同的临床特征,需要多学科的护理.
- 疲劳,胃肠道疾病,腿部疼痛和骨折等症状需要对儿童的血水平进行评估.
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