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[白色阿狄森氏病。八例(作者译)]

[Whited Addison's disease. Eight cases (author's transl)].

作者信息

Vague P, Combes R, Altomare E, Moulin J P, Vague J

出版信息

Nouv Presse Med. 1978 May 13;7(19):1621-3.

PMID:208057
Abstract

In 8 cases of Addison's disease due to adrenal tuberculosis, the substitutive treatment appeared unnecessary since more than one year. Urinary 17-OHCS were in the normal range but did not rise after ACTH injection except in two cases. In all the cases, plasma ACTH was elevated but lower than in severe adrenal insufficiency, and in the range of those observed in congenital adrenal hyperplasia. The nycthemeral variation of plasma ACTH were maintained. Therefore, an apparently normal basal cortico-adrenal function was obtained by an excessive stimulation by endogenous ACTH. The one year prescription of anti-tuberculosis chimiotherapy to 6 of these patients was possibly responsible for the partial reversal of adrenal insufficiency. However the substutive therapy appears needless in every day life, such a treatment would eventually be necessary during stress conditions.

摘要

在8例因肾上腺结核导致的艾迪生病患者中,替代治疗在一年多以来似乎并无必要。尿17-羟皮质类固醇处于正常范围,但除2例患者外,注射促肾上腺皮质激素(ACTH)后并未升高。所有病例中,血浆ACTH均升高,但低于严重肾上腺功能不全患者,且处于先天性肾上腺增生患者所观察到的范围内。血浆ACTH的昼夜变化得以维持。因此,通过内源性ACTH的过度刺激获得了明显正常的基础肾上腺皮质功能。对其中6例患者进行的为期一年的抗结核化疗可能是肾上腺功能不全部分逆转的原因。然而,在日常生活中替代治疗似乎并无必要,但在应激状态下最终可能需要这种治疗。

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