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毛里阿氏综合征在控制不佳的1型糖尿病中仍然存在:两例报告及文献综述

Mauriac Syndrome Still Exists in Poorly Controlled Type 1 Diabetes: A Report of Two Cases and Literature Review.

作者信息

Alhajjaj Alya H, Aljishi Fatemah K

机构信息

Internal Medicine and Endocrinology, Qatif Central Hospital, Qatif, SAU.

Internal Medicine, Qatif Central Hospital, Qatif, SAU.

出版信息

Cureus. 2021 Apr 26;13(4):e14704. doi: 10.7759/cureus.14704.

Abstract

Mauriac syndrome is a very rare syndrome that occurs in poorly controlled type 1 diabetes mellitus with diabetic complications. Its cardinal features include delayed growth and puberty, hepatomegaly, and moon faces. These features were attributed mainly to insulin deficiency and sub-optimal diabetic management. Its incidence is decreasing due to the newer insulin formulation and intensive blood glucose control. Early recognition and management of this syndrome may improve the outcome of these patients. Recently, there are increasing reports of this syndrome. Here, we present the cases of two adolescent males with type 1 diabetes who presented with the classical features of Mauriac syndrome.

摘要

莫里亚克综合征是一种非常罕见的综合征,发生于控制不佳的1型糖尿病并伴有糖尿病并发症。其主要特征包括生长和青春期发育延迟、肝肿大和满月脸。这些特征主要归因于胰岛素缺乏和糖尿病管理欠佳。由于新型胰岛素制剂的出现和强化血糖控制,其发病率正在下降。早期识别和处理该综合征可能改善这些患者的预后。最近,关于该综合征的报道日益增多。在此,我们报告两例患有1型糖尿病的青少年男性病例,他们表现出莫里亚克综合征的典型特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cd7/8076427/902fce830f99/cureus-0013-00000014704-i01.jpg

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