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先天性肾上腺皮质增生症的长期预后。

Long-Term Outcomes of Congenital Adrenal Hyperplasia.

机构信息

Department of Women's and Children's Health, Karolinska Institute, Stockholm, Sweden.

Pediatric Endocrinology Unit, Karolinska University Hospital, Stockholm, Sweden.

出版信息

Endocrinol Metab (Seoul). 2022 Aug;37(4):587-598. doi: 10.3803/EnM.2022.1528. Epub 2022 Jul 8.

Abstract

A plethora of negative long-term outcomes have been associated with congenital adrenal hyperplasia (CAH). The causes are multiple and involve supra-physiological gluco- and mineralocorticoid replacement, excess adrenal androgens both intrauterine and postnatal, elevated steroid precursor and adrenocorticotropic hormone levels, living with a congenital condition as well as the proximity of the cytochrome P450 family 21 subfamily A member 2 (CYP21A2) gene to other genes. This review aims to discuss the different long-term outcomes of CAH.

摘要

先天性肾上腺皮质增生症(CAH)与诸多负面的长期后果相关。其病因众多,涉及超生理剂量的糖和盐皮质激素替代治疗、宫内和产后的过量肾上腺雄激素、升高的类固醇前体和促肾上腺皮质激素水平、先天性疾病的存在以及细胞色素 P450 家族 21 亚家族 A 成员 2(CYP21A2)基因与其他基因的邻近关系。本文旨在讨论 CAH 的不同长期后果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5376/9449109/e662a259d7a4/enm-2022-1528f1.jpg

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