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促肾上腺皮质激素抵抗综合征:三例病例报告

ACTH Resistance Syndrome: An Experience of Three Cases.

作者信息

Goyal Alpesh, Boro Hiya, Khandelwal Deepak, Khadgawat Rajesh

机构信息

Department of Endocrinology and Metabolism, All India Institute of Medical Sciences, New Delhi, India.

Department of Endocrinology and Metabolism, Maharaja Agrasen Hospital, Punjabi Bagh, New Delhi, India.

出版信息

Indian J Endocrinol Metab. 2018 Nov-Dec;22(6):843-847. doi: 10.4103/ijem.IJEM_501_18.

DOI:10.4103/ijem.IJEM_501_18
PMID:30766828
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6330879/
Abstract

The term adrenocorticotropin (ACTH) resistance syndrome is used for a group of rare inherited disorders, which present with primary adrenal insufficiency during childhood. The syndrome includes two disorders inherited in an autosomal recessive fashion - familial glucocorticoid deficiency and triple A syndrome. Herein, we report our experience of three cases with ACTH resistance syndrome, highlighting the approach to diagnosis and management in such patients.

摘要

促肾上腺皮质激素(ACTH)抵抗综合征这一术语用于一组罕见的遗传性疾病,这些疾病在儿童期表现为原发性肾上腺功能不全。该综合征包括两种以常染色体隐性方式遗传的疾病——家族性糖皮质激素缺乏症和三A综合征。在此,我们报告我们对三例ACTH抵抗综合征患者的诊治经验,重点介绍对此类患者的诊断和管理方法。

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1
ACTH Resistance Syndrome: An Experience of Three Cases.促肾上腺皮质激素抵抗综合征:三例病例报告
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Novel polymorphisms and lack of mutations in the ACD gene in patients with ACTH resistance syndromes.促肾上腺皮质激素抵抗综合征患者中ACD基因的新型多态性及无突变情况。
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4
[ACTH resistance syndromes].[促肾上腺皮质激素抵抗综合征]
Ann Endocrinol (Paris). 2000 Nov;61(5):428-39.
5
Adrenocorticotropin receptor and adrenal disorders.促肾上腺皮质激素受体与肾上腺疾病
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Diminished adrenal androgen secretion in familial glucocorticoid deficiency implicates a significant role for ACTH in the induction of adrenarche.家族性糖皮质激素缺乏时肾上腺雄激素分泌减少,提示促肾上腺皮质激素在肾上腺初现的诱导过程中起重要作用。
Clin Endocrinol (Oxf). 1997 Apr;46(4):431-7. doi: 10.1046/j.1365-2265.1997.1580969.x.
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A novel mutation of the adrenocorticotropin receptor (ACTH-R) gene in a family with the syndrome of isolated glucocorticoid deficiency, but no ACTH-R abnormalities in two families with the triple A syndrome.一个患有孤立性糖皮质激素缺乏综合征的家族中促肾上腺皮质激素受体(ACTH-R)基因的新型突变,但两个患有三A综合征的家族中ACTH-R无异常。
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Isolated glucocorticoid deficiency and ACTH receptor mutations.孤立性糖皮质激素缺乏与促肾上腺皮质激素受体突变
Arch Med Res. 1999 Nov-Dec;30(6):475-80. doi: 10.1016/s0188-0128(99)00057-3.

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Triple A Syndrome-A Rare Hereditary Cause of Achalasia.三 A 综合征——贲门失弛缓症的一种罕见遗传病因。
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本文引用的文献

1
Familial glucocorticoid deficiency presenting with generalized hyperpigmentation in adolescence. Report of three siblings.青少年期出现全身色素沉着的家族性糖皮质激素缺乏症。三例同胞病例报告。
Indian J Endocrinol Metab. 2012 Dec;16(Suppl 2):S382-4. doi: 10.4103/2230-8210.104101.
2
Neurological features in adult Triple-A (Allgrove) syndrome.成人 Triple-A(Allgrove)综合征的神经学特征。
J Neurol. 2012 Jan;259(1):39-46. doi: 10.1007/s00415-011-6115-9. Epub 2011 Jun 9.
3
Familial glucocorticoid deficiency: advances in the molecular understanding of ACTH action.家族性糖皮质激素缺乏症:促肾上腺皮质激素作用分子机制的研究进展
Horm Res. 2008;69(2):75-82. doi: 10.1159/000111810. Epub 2007 Dec 5.
4
Adrenal insufficiency: still a cause of morbidity and death in childhood.肾上腺功能不全:仍是儿童发病和死亡的一个原因。
Pediatrics. 2007 Feb;119(2):e484-94. doi: 10.1542/peds.2006-1612. Epub 2007 Jan 22.
5
Mechanisms of disease: the adrenocorticotropin receptor and disease.疾病机制:促肾上腺皮质激素受体与疾病
Nat Clin Pract Endocrinol Metab. 2006 May;2(5):282-90. doi: 10.1038/ncpendmet0165.
6
Inherited ACTH insensitivity illuminates the mechanisms of ACTH action.遗传性促肾上腺皮质激素不敏感揭示了促肾上腺皮质激素的作用机制。
Trends Endocrinol Metab. 2005 Dec;16(10):451-7. doi: 10.1016/j.tem.2005.10.006. Epub 2005 Nov 3.
7
Genotypic heterogeneity and clinical phenotype in triple A syndrome: a review of the NIH experience 2000-2005.三磷酸腺苷酶缺乏综合征的基因异质性与临床表型:国立卫生研究院2000 - 2005年经验综述
Clin Genet. 2005 Sep;68(3):215-21. doi: 10.1111/j.1399-0004.2005.00482.x.
8
Mutations in MRAP, encoding a new interacting partner of the ACTH receptor, cause familial glucocorticoid deficiency type 2.MRAP(促肾上腺皮质激素受体的一种新的相互作用伴侣蛋白)编码基因的突变会导致2型家族性糖皮质激素缺乏症。
Nat Genet. 2005 Feb;37(2):166-70. doi: 10.1038/ng1501. Epub 2005 Jan 16.
9
Familial Addison's disease; case reports of two sisters with corticoid deficiency unassociated with hypoaldosteronism.家族性艾迪生病;两姐妹皮质激素缺乏且不伴有醛固酮减少症的病例报告。
AMA J Dis Child. 1959 Feb;97(2):154-62.
10
Allgrove or 4 "A" syndrome: an autosomal recessive syndrome causing multisystem neurological disease.奥尔格罗夫或4“A”综合征:一种导致多系统神经疾病的常染色体隐性综合征。
J Neurol Neurosurg Psychiatry. 2003 May;74(5):654-7. doi: 10.1136/jnnp.74.5.654.