三十年来,在垂体下垂体中心,库辛病的改变面貌
Ilkin Muradov1, Serdar Sahin1, Serhat Uysal1
1Division of Endocrinology and Metabolism, Department of Internal Medicine, Cerrahpaşa Faculty of Medicine, Istanbul University- Cerrahpaşa, Istanbul, Turkey.
Journal of endocrinological investigation
|September 16, 2025
概括
随着时间的推移,库辛病的临床表现变得不那么典型,近年来观察到的经典症状越来越少. 这种转变可能会推迟诊断,强调需要提高临床意识.
科学领域:
- 内分泌学 在内分泌学.
- 临床医学 临床医学
- 医学研究 医学研究
背景情况:
- 库希氏病 (CD) 在历史上表现出明显的临床特征.
- 然而,随着时间的推移,库辛综合征 (CS) 的表现变得更加微妙和非典型.
研究的目的:
- 调查近年来库辛病的临床表现的演变.
- 为了在不同的时间段内识别CD的迹象和症状的变化.
主要方法:
- 对258名库辛病患者的回顾性分析.
- 评估临床发现,实验室结果,成像,治疗和缓解状态.
- 1990-2012年和2013-2023年间诊断的患者队列的比较.
主要成果:
- 在过去十年中被诊断的患者年龄较大,并且呈现出统计学上显著的较少的经典症状,如月面,紫色斑纹,疹症和月经不规则.
- 最近的CD患者表现出较低的基线皮质醇和 adrenocorticotropic激素 (ACTH) 水平.
- 在最近的队列中观察到较小的中位垂体腺瘤大小.
结论:
- 库辛病的临床表现正在发生变化,变得不那么典型.
- 仅仅依赖经典症状可能会推迟诊断.
- 临床医生必须保持对CD的高度怀疑指数,即使是微妙或非典型的呈现.
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