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旧问题,新担忧:COVID-19 时期的皮质醇增多症。

Old Problem, New Concerns: Hypercortisolemia in the Time of COVID-19.

机构信息

Department of Endocrinology and Internal Medicine, Faculty of Medicine, Medical University of Gdańsk, Gdańsk, Poland.

出版信息

Front Endocrinol (Lausanne). 2021 Oct 5;12:711612. doi: 10.3389/fendo.2021.711612. eCollection 2021.

Abstract

The ongoing coronavirus disease 2019 (COVID-19) pandemic forced a change in the way we provide medical treatment. Endocrinology in the era of COVID-19 had to transform and reduce its vast potential to the absolute necessities. Medical professionals needed to update their clinical practice to provide their patients as much support and as little harm as possible in these increasingly difficult times. International expert statements were published to offer guidance regarding proper care. It was suggested to simplify the diagnostic scheme of hypercortisolemia and to modify the approach to treatment. Hypercortisolemic patients with COVID-19 and iatrogenic hypercortisolemia due to glucocorticoid use are important clinical scenarios - we aimed to provide a cohesive summary of issues to consider.

摘要

正在持续的 2019 年冠状病毒病(COVID-19)大流行迫使我们改变了提供医疗服务的方式。COVID-19 时代的内分泌学不得不将其广泛的潜力转化为绝对必要的内容。医疗专业人员需要更新他们的临床实践,以便在这些日益困难的时期为患者提供尽可能多的支持和尽可能少的伤害。发表了国际专家声明,就适当的护理提供指导。建议简化皮质醇增多症的诊断方案,并修改皮质醇增多症的治疗方法。COVID-19 合并皮质醇增多症的患者和因糖皮质激素使用而导致的医源性皮质醇增多症是重要的临床情况-我们旨在提供一个连贯的问题总结。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32b1/8524078/96871270bd07/fendo-12-711612-g001.jpg

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