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一名儿童以扩张型心肌病为表现的先天性垂体功能减退症。

Congenital hypopituitarism presenting as dilated cardiomyopathy in a child.

作者信息

Jain Vandana, Kannan Lakshminarayanan, Kumar Pawan

机构信息

Division of Pediatric Endocrinology, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.

出版信息

J Pediatr Endocrinol Metab. 2011;24(9-10):767-9. doi: 10.1515/jpem.2011.366.

DOI:10.1515/jpem.2011.366
PMID:22145472
Abstract

Congenital hypopituitarism is commonly diagnosed either in infancy with neonatal hypoglycemia, prolonged jaundice and/or microphallus or in early to mid-childhood because of short stature. Replacement of deficient hormones allows the affected children to have a normal and productive life. We describe a 10-year-old boy with congenital hypopituitarism whose parents first sought definitive medical attention when the child developed congestive heart failure due to dilated cardiomyopathy, presumably secondary to prolonged untreated central hypothyroidism and growth hormone deficiency.

摘要

先天性垂体功能减退症通常在婴儿期因新生儿低血糖、黄疸持续时间延长和/或小阴茎而被诊断出来,或者在儿童早期至中期因身材矮小而被诊断出来。补充缺乏的激素可使受影响的儿童过上正常且有意义的生活。我们描述了一名患有先天性垂体功能减退症的10岁男孩,其父母在孩子因扩张型心肌病发展为充血性心力衰竭(可能继发于长期未治疗的中枢性甲状腺功能减退症和生长激素缺乏症)时首次寻求明确的医疗关注。

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