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肾上腺皮质形态学改变各异的库欣综合征的临床特征

[Clinical characteristics of Itsenko-Cushing syndrome with various morphological changes in the adrenal cortex].

作者信息

Baranov V G, Nechaĭ A I, Trofimov V M, Savushkina A S, Kalashnikov S A

出版信息

Probl Endokrinol (Mosk). 1986 May-Jun;32(3):30-4.

PMID:3016700
Abstract

The frequency and nature of the main signs of Icenko-Cushing's syndrome were studied in 132 patients divided into 4 groups with relation to morphological changes in the adrenals. It was established that the peculiarities of morphological structure of the adrenals were not reflected in a clinical picture of disease. A more frequent development of some clinical manifestations of Icenko-Cushing's syndrome was noted in the group of patients with a significantly higher mean level of cortisol in the blood plasma. The test with 8 mg of dexamethasone for suppression of 17-OCS excreted with urine was not strictly specific for any stage of morphological changes in the adrenal cortex.

摘要

对132例因肾上腺形态学改变而分为4组的患者,研究了伊钦科-库欣综合征主要体征的发生频率和性质。结果表明,肾上腺形态结构的特点并未反映在疾病的临床表现中。在血浆皮质醇平均水平显著较高的患者组中,伊钦科-库欣综合征某些临床表现的发生更为频繁。用8毫克地塞米松抑制尿中17-OCS排泄的试验对肾上腺皮质形态学改变的任何阶段都不是严格特异的。

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