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囊性纤维化患者内分泌合并症的诊断与治疗

Diagnosis and treatment of endocrine comorbidities in patients with cystic fibrosis.

作者信息

Siwamogsatham Oranan, Alvarez Jessica A, Tangpricha Vin

机构信息

aDivision of Endocrinology, Metabolism and Lipids, Department of Medicine, Emory University School of Medicine bSamitivej Srinakarin Hospital, Bangkok Hospital Group, Bangkok, Thailand cEmory Adult Cystic Fibrosis Program, Emory Healthcare dSection of Endocrinology, Atlanta VA Medical Center, Decatur, Georgia, USA.

出版信息

Curr Opin Endocrinol Diabetes Obes. 2014 Oct;21(5):422-9. doi: 10.1097/MED.0000000000000096.

Abstract

PURPOSE OF REVIEW

The aim of this review is to provide an update on various relevant endocrine aspects of care in adolescents and adults with cystic fibrosis.

RECENT FINDINGS

As life expectancy in cystic fibrosis has continuously improved, endocrine complications have become more apparent. The common endocrine complications include cystic fibrosis related diabetes, cystic fibrosis related bone disease, vitamin D deficiency and poor growth and pubertal development. Thyroid and adrenal disorders have also been reported, although the prevalence appears to be less common.

SUMMARY

Endocrine diseases are an increasingly recognized complication that has a significant impact on the overall health of individuals with cystic fibrosis. This review summarizes the updated screening and management of endocrine diseases in the cystic fibrosis population.

摘要

综述目的

本综述旨在更新关于青少年和成人囊性纤维化患者各种相关内分泌护理方面的内容。

最新发现

随着囊性纤维化患者的预期寿命不断提高,内分泌并发症变得更加明显。常见的内分泌并发症包括囊性纤维化相关糖尿病、囊性纤维化相关骨病、维生素D缺乏以及生长和青春期发育不良。甲状腺和肾上腺疾病也有报道,尽管其患病率似乎较低。

总结

内分泌疾病是一种日益被认识到的并发症,对囊性纤维化患者的整体健康有重大影响。本综述总结了囊性纤维化患者内分泌疾病的最新筛查和管理情况。

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