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原发性双侧大结节性肾上腺增生的临床及心脏特征

Clinical and cardiac characteristics of primary bilateral macronodular adrenal hyperplasia.

作者信息

Miao Sisi, Lu Lin, Si Shengyong, Peng Dandan, Zhong Ya, Li Zhijing, Yu Zhenqiu

机构信息

The affiliated Hospital of Guizhou Medical University, Department of Hypertension, Guiyang, China.

Chinese Academy of Medical Science and Peking Union Medical College, Peking Union Medical College Hospital, Department of Endocrinology, Key Laboratory of Endocrinology of National Health Commission, Beijing, China.

出版信息

J Med Biochem. 2024 Jan 25;43(1):19-35. doi: 10.5937/jomb0-43319.

DOI:10.5937/jomb0-43319
PMID:38496019
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10943461/
Abstract

BACKGROUND

Cardiovascular disease is the leading cause of death in Cushingžs syndrome (CS). Primary bilateral macro-nodular adrenal hyperplasia (PBMAH), is a rare cause of CS that is clinically distinct from the other common types of CS, but cardiac characteristics have been poorly studied.

METHODS

The clinical data, steroid hormones and echocardiographic variables of 17 patients with PBMAH were collected. Twenty-one CS patients with cortisol-producing adenoma (CPA) were collected as controls. The similarities and differences of clinical and cardiac features between the two groups were compared.

摘要

背景

心血管疾病是库欣综合征(CS)的主要死因。原发性双侧大结节性肾上腺增生(PBMAH)是CS的一种罕见病因,在临床上与其他常见类型的CS不同,但心脏特征的研究较少。

方法

收集17例PBMAH患者的临床资料、类固醇激素和超声心动图变量。收集21例产生皮质醇腺瘤(CPA)的CS患者作为对照。比较两组患者临床和心脏特征的异同。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9962/10943461/71c77a6bd078/jomb-43-1-2401019M-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9962/10943461/71c77a6bd078/jomb-43-1-2401019M-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9962/10943461/71c77a6bd078/jomb-43-1-2401019M-g001.jpg

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本文引用的文献

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Mass spectrometry-based steroid profiling in primary bilateral macronodular adrenocortical hyperplasia.基于质谱的原发性双侧大结节性肾上腺皮质增生症的类固醇谱分析。
Endocr Relat Cancer. 2020 Jul;27(7):403-413. doi: 10.1530/ERC-20-0102.
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Intestinal Flora Modulates Blood Pressure by Regulating the Synthesis of Intestinal-Derived Corticosterone in High Salt-Induced Hypertension.肠道菌群通过调节盐诱导高血压时肠道源性皮质酮的合成来调节血压。
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Demographic Characteristics, Etiology, and Comorbidities of Patients with Cushing's Syndrome: A 10-Year Retrospective Study at a Large General Hospital in China.
库欣综合征患者的人口统计学特征、病因及合并症:中国一家大型综合医院的10年回顾性研究
Int J Endocrinol. 2019 Feb 19;2019:7159696. doi: 10.1155/2019/7159696. eCollection 2019.
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A multicenter experience on the prevalence of ARMC5 mutations in patients with primary bilateral macronodular adrenal hyperplasia: from genetic characterization to clinical phenotype.原发性双侧大结节性肾上腺增生患者中ARMC5突变患病率的多中心研究:从基因特征到临床表型
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Glucocorticoids Induce Nondipping Blood Pressure by Activating the Thiazide-Sensitive Cotransporter.糖皮质激素通过激活噻嗪类敏感共转运体诱导血压非勺型变化。
Hypertension. 2016 May;67(5):1029-37. doi: 10.1161/HYPERTENSIONAHA.115.06977. Epub 2016 Mar 7.
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Mineralocorticoid Excess or Glucocorticoid Insufficiency: Renal and Metabolic Phenotypes in a Rat Hsd11b2 Knockout Model.盐皮质激素过多或糖皮质激素不足:大鼠Hsd11b2基因敲除模型中的肾脏和代谢表型
Hypertension. 2015 Sep;66(3):667-73. doi: 10.1161/HYPERTENSIONAHA.115.05262. Epub 2015 Jun 15.
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The Treatment of Cushing's Disease.库欣病的治疗
Endocr Rev. 2015 Aug;36(4):385-486. doi: 10.1210/er.2013-1048. Epub 2015 Jun 11.
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Br J Pharmacol. 2015 Dec;172(23):5634-46. doi: 10.1111/bph.13185. Epub 2015 Jun 26.
10
ARMC5 Mutations in a Large Cohort of Primary Macronodular Adrenal Hyperplasia: Clinical and Functional Consequences.一大群原发性大结节性肾上腺增生患者中的 ARMC5 突变:临床及功能后果
J Clin Endocrinol Metab. 2015 Jun;100(6):E926-35. doi: 10.1210/jc.2014-4204. Epub 2015 Apr 8.