Van Thiel D H
Yale J Biol Med. 1979 Mar-Apr;52(2):219-25.
A review of the factors historically thought to contribute to the feminization of men with Laennec's cirrhosis is presented. Objective scientific data is presented both in support of and in rejection of such factors when available. Recent hypotheses about the significance of an altered estrogen to androgen (E/T) ratio as being important in the pathogenesis of feminization also are discussed. Finally, a hypothesis which incorporates the findings of hypogonadism and cirrhosis with portal-systemic shunting is presented as a pathogenic mechanism for the feminization of men with alcohol-induced Laennec's cirrhosis.
本文综述了历史上被认为与Laennec肝硬化男性女性化有关的因素。如有客观科学数据,将同时列出支持和反驳这些因素的数据。还讨论了关于雌激素与雄激素(E/T)比值改变在女性化发病机制中具有重要意义的最新假说。最后,提出了一种将性腺功能减退和肝硬化与门体分流的研究结果相结合的假说,作为酒精性Laennec肝硬化男性女性化的发病机制。