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垂体功能减退症的诊断与治疗。

Diagnosis and management of hypopituitarism.

机构信息

Pediatric Endocrinology, Rutgers-Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.

出版信息

Curr Opin Pediatr. 2019 Aug;31(4):531-536. doi: 10.1097/MOP.0000000000000779.

Abstract

PURPOSE OF REVIEW

This review summarizes pituitary function, and the clinical presentation and treatment of hypopituitarism.

RECENT FINDINGS

Updates in the field include new guidelines and meta-analyses on the diagnosis and treatment of select hormone deficiencies, novel treatment options, and advances in next generation sequencing technology.

SUMMARY

Hypopituitarism is defined as partial or complete loss of a single or multiple pituitary hormones. The clinical presentation of hypopituitarism varies depending on the number and severity of hormone deficiencies. Treatment involves the physiologic replacement of the individual end-organ hormone deficiencies and requires close lifelong monitoring.

摘要

目的综述

本文总结了垂体功能以及垂体功能减退症的临床表现和治疗。

最新发现

该领域的最新进展包括关于特定激素缺乏症的诊断和治疗的新指南和荟萃分析、新的治疗选择以及下一代测序技术的进步。

总结

垂体功能减退症是指单个或多个垂体激素部分或完全丧失。垂体功能减退症的临床表现取决于激素缺乏的数量和严重程度。治疗包括对各个靶器官激素缺乏的生理性替代,需要密切的终身监测。

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