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皮肤科医生多囊卵巢综合征管理的最新进展

Update on Management of Polycystic Ovarian Syndrome for Dermatologists.

作者信息

Gainder Shalini, Sharma Bharti

机构信息

Department of Obstetrics and Gynaecology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Indian Dermatol Online J. 2019 Mar-Apr;10(2):97-105. doi: 10.4103/idoj.IDOJ_249_17.

Abstract

Polycystic ovarian syndrome (PCOS) is the commonest endocrine disorder in women having wide range of clinical manifestation. These women may present with reproductive, dermatological, metabolic, psychological, or neoplastic implications from adolescence to menopause. The common dermatological manifestations include hirsutism, acne, alopecia, or acanthosis nigricans. Women presenting with these dermatological manifestations must be evaluated for PCOS. A multidisciplinary team approach involving a reproductive endocrinologist, dermatologist, psychologist/psychiatrist, dietician, and sometimes a bariatric surgeon should be undertaken for long-term management of these patients. Unless metabolic and underlying endocrinal disturbances arecorrected and simultaneous life-style modification is adopted, cosmetic treatment would give only temporary relief.

摘要

多囊卵巢综合征(PCOS)是女性最常见的内分泌紊乱疾病,临床表现广泛。这些女性从青春期到更年期可能会出现生殖、皮肤、代谢、心理或肿瘤方面的问题。常见的皮肤表现包括多毛症、痤疮、脱发或黑棘皮病。出现这些皮肤表现的女性必须接受PCOS评估。对于这些患者的长期管理,应采用多学科团队方法,包括生殖内分泌学家、皮肤科医生、心理学家/精神科医生、营养师,有时还包括减重外科医生。除非纠正代谢和潜在的内分泌紊乱并同时改变生活方式,否则美容治疗只能提供暂时的缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c85/6434760/27e5126dcfd4/IDOJ-10-97-g001.jpg

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