预测的成年人身高在早发上腺的儿童中仍然正常,尽管骨年龄较高
Eetu Kanniainen1, Jarmo Jääskeläinen2,3, Jani Liimatta2,3
1School of Medicine, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.
Acta paediatrica (Oslo, Norway : 1992)
|July 28, 2025
概括
儿童过早上腺炎表现出多种表型,骨年龄较高,但预测成年人身高正常. 亚组分析表明这种情况的各种潜在原因.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 青少年医学 青少年医学
- 增长和发展 增长和发展
背景情况:
- 影响上腺症表型的因素尚不清楚.
- 过早上腺症的特点是早期青春期的发展.
研究的目的:
- 为了研究被诊断为早发上腺的儿童的表型变异性.
- 探索导致不同表型的潜在病因因素.
主要方法:
- 一项横截面的回顾性注册研究分析了91名患有过早上腺瘤的儿童的数据.
- 评估了荷尔蒙和生长变量,并将数据分层分为子组,以检查表型变异.
主要成果:
- 患有过早上腺衰竭的儿童的身高,体重增加,雄激素水平升高,骨年龄提升.
- 超重儿童的骨年龄较晚,生长线性.
- 早期诊断的儿童的身高SDS较高,但与晚些时候诊断的儿童相比,脱水氨硫酸 (DHEAS) 水平较低.
结论:
- 尽管骨年龄较高,预测过早上腺的成年人身高处于正常范围内.
- 观察到的亚组差异表明过早上腺衰竭的病因因素的异质性.
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