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儿童和青少年内分泌疾病患者中的 COVID-19。

COVID-19 in Children and Adolescents with Endocrine Conditions.

机构信息

Division of Paediatric Endocrinology and Diabetes, University of Patras, Patras, Greece.

Endocrinology Service, Hospital Infantil Universitario Niño Jesús, Madrid, Spain.

出版信息

Horm Metab Res. 2020 Nov;52(11):769-774. doi: 10.1055/a-1227-6635. Epub 2020 Sep 8.

Abstract

The rapid spread of coronavirus disease (COVID-19) worldwide justifies global effort to combat the disease but also the need to review effective preventive strategies and medical management for potentially high-risk populations during the pandemic. Data regarding the COVID-19 manifestations in adults with underlying endocrine conditions, especially diabetes mellitus, are increasingly emerging. Albeit children and adolescents are considered to be affected in a milder manner, paucity of information regarding COVID-19 in children who suffer from endocrinopathies is available. The present review comprehensively collects recommendations issued by various health organizations and endocrine associations for the management of pediatric endocrine conditions during the pandemic. Adhering to the specific "sick day management rules" and undelayed seeking for medical advice are only needed in most of the cases, as the vast majority of children with endocrine disorders do not represent a high-risk population for contamination or severe presentation of COVID-19. Psychological implications in these children and adolescents are also considered.

摘要

冠状病毒病(COVID-19)在全球范围内的迅速传播证明了全球对抗该疾病的努力是合理的,但也需要在大流行期间审查针对潜在高危人群的有效预防策略和医疗管理。关于患有潜在内分泌疾病(尤其是糖尿病)的成年人中 COVID-19 表现的数据不断涌现。尽管儿童和青少年被认为受到的影响较轻,但有关患有内分泌疾病的儿童 COVID-19 的信息却很少。本综述全面收集了各种卫生组织和内分泌协会发布的有关大流行期间儿科内分泌疾病管理的建议。在大多数情况下,仅需要遵循特定的“病假管理规则”并及时寻求医疗建议,因为绝大多数患有内分泌疾病的儿童并不代表 COVID-19 感染或严重表现的高危人群。还考虑了这些儿童和青少年的心理影响。

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