Mileva Zh, Maleeva A
Vutr Boles. 1988;27(4):29-32.
The testosterone basic level was followed up in 427 asthmatic male patients treated and not treated with corticosteroids. In 172 of them (40.68%) basic low blood testosterone was found, in 1/3 of the patients (32.32%) the morning testosterone level was below 200 ng% and in 37 patients (8.67%) it was below 100 ng%. Low blood testosterone was more frequent in the corticosteroid-treated patients than in the patients who had never been treated with corticosteroids (31.63%). Among the untreated patients low blood testosterone was more frequent in the patients with nonatopic (40.82%) than in the patients with atopic (24.67%) and mixed type (27.16%) of bronchial asthma. Low blood testosterone was found mainly in the patients with severe (37.76%) and moderate (40.00%) form of the disease and very rarely in patients with mild form of bronchial asthma (8.51%). The basic testosterone level changes are probably due to the stress, hypoxia and corticosteroid treatment. The possibility of a direct suppressive action of exo- and endoallergens on the testes are discussed.
对427名接受和未接受皮质类固醇治疗的男性哮喘患者的睾酮基础水平进行了随访。其中172人(40.68%)存在基础血睾酮水平低的情况,三分之一的患者(32.32%)早晨睾酮水平低于200 ng%,37名患者(8.67%)低于100 ng%。接受皮质类固醇治疗的患者血睾酮水平低的情况比从未接受过皮质类固醇治疗的患者更常见(31.63%)。在未治疗的患者中,非特应性支气管哮喘患者血睾酮水平低的情况比特应性(24.67%)和混合型(27.16%)支气管哮喘患者更常见(40.82%)。血睾酮水平低主要见于重度(37.76%)和中度(40.00%)病情的患者,很少见于轻度支气管哮喘患者(8.51%)。睾酮基础水平的变化可能是由于应激、缺氧和皮质类固醇治疗所致。文中讨论了外源性和内源性过敏原对睾丸直接抑制作用的可能性。