Raj Rishi, Elshimy Ghada, Mishra Rahul, Jha Nivedita, Joseph Vismaya, Bratman Russell, Tella Sri Harsha, Correa Ricardo
Endocrinology, Diabetes and Metabolism, Pikeville Medical Center, Pikeville, USA.
Endocrinology, Diabetes and Metabolism, Augusta University Medical College of Georgia, Augusta, USA.
Cureus. 2021 Sep 27;13(9):e18327. doi: 10.7759/cureus.18327. eCollection 2021 Sep.
Endocrine disorders are known to involve all organ systems of the body, including the skin. The cutaneous manifestations of endocrine disorders can range from common findings such as acanthosis nigricans, pretibial myxedema, acne, hirsutism, hyper or hypopigmentation to rare cutaneous findings such as miliaria rubra, calciphylaxis, lentigines, and calcinosis cutis. These cutaneous symptoms can sometimes be the presenting symptoms or can even be pathognomonic of the underlying endocrine condition. In some cases, the cutaneous symptoms from an underlying endocrine abnormality may be the most prominent. These symptoms can significantly affect the quality of life of individuals. Often, individuals may seek health care from a dermatologist or primary care physician for isolated skin symptoms. Therefore, it is imperative for physicians to recognize the skin symptoms as the manifestation of the endocrine disorder for prompt diagnosis and treatment of the underlying endocrine disorder.
已知内分泌失调会累及身体的所有器官系统,包括皮肤。内分泌失调的皮肤表现范围广泛,从常见表现如黑棘皮病、胫前黏液性水肿、痤疮、多毛症、色素沉着过多或过少,到罕见的皮肤表现如红色粟丘疹、钙过敏、雀斑和皮肤钙质沉着症。这些皮肤症状有时可能是首发症状,甚至可能是潜在内分泌疾病的特征性表现。在某些情况下,潜在内分泌异常引起的皮肤症状可能最为突出。这些症状会显著影响个体的生活质量。通常,个体可能会因孤立的皮肤症状而寻求皮肤科医生或初级保健医生的医疗服务。因此,医生必须认识到皮肤症状是内分泌失调的表现,以便及时诊断和治疗潜在的内分泌疾病。