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以腹痛为表现的代谢综合征

Metabolic Syndrome Presenting as Abdominal Pain.

作者信息

Al-Dossary Mohammed Y, Hasan Manal A, Al-Dhafeeri Abdulaziz H, Al-Nafea Noura M

机构信息

Department of Internal Medicine, King Fahd Hospital of the University, University of Dammam, Dammam, Kingdom of Saudi Arabia.

出版信息

Saudi J Med Med Sci. 2017 May-Aug;5(2):172-174. doi: 10.4103/1658-631X.204856. Epub 2017 Apr 20.

DOI:10.4103/1658-631X.204856
PMID:30787779
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6298367/
Abstract

Metabolic syndrome represents a sum of risk factors that lead to the occurrence of cardiovascular and cerebrovascular events. The early detection of metabolic syndrome is extremely important in adults who are at risk. Although the physiopathological mechanisms of the metabolic syndrome are not yet clear, insulin resistance plays a key role that could explain the development of type 2 diabetes mellitus in untreated metabolic syndrome patients. Here, we present the case of a 26-year-old male who was diagnosed with metabolic syndrome and severe hypertriglyceridemia after presenting with abdominal pain. Although hypertriglyceridemia and hyperglycemia are the most common predictors of metabolic syndrome, clinicians need to be vigilant for unexpected presentations in patients at risk for metabolic syndrome. This case sheds light on the importance of early detection.

摘要

代谢综合征是导致心血管和脑血管事件发生的一系列危险因素。对于有风险的成年人而言,早期发现代谢综合征极为重要。尽管代谢综合征的生理病理机制尚不清楚,但胰岛素抵抗起着关键作用,这可以解释未经治疗的代谢综合征患者中2型糖尿病的发展。在此,我们报告一例26岁男性病例,该患者因腹痛就诊后被诊断为代谢综合征和严重高甘油三酯血症。虽然高甘油三酯血症和高血糖是代谢综合征最常见的预测指标,但临床医生需要警惕代谢综合征风险患者出现的意外表现。该病例揭示了早期发现的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/698f/6298367/c32154cc1b22/SJMMS-5-172-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/698f/6298367/c32154cc1b22/SJMMS-5-172-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/698f/6298367/c32154cc1b22/SJMMS-5-172-g001.jpg

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Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report.美国国家胆固醇教育计划(NCEP)成人高血胆固醇检测、评估与治疗专家小组第三次报告(成人治疗小组第三次报告)最终报告。
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The determinants of glycemic responses to diet restriction and weight loss in obesity and NIDDM.肥胖症和非胰岛素依赖型糖尿病患者饮食限制及体重减轻后血糖反应的决定因素。
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