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经典青少年发病型糖尿病的家族史与疾病严重程度的关系。

Family history in classical juvenile onset diabetes in relation to severity of the disease.

作者信息

Ludvigsson J, Larsson Y

出版信息

Acta Diabetol Lat. 1979 Oct-Dec;16(4):305-10. doi: 10.1007/BF02587651.

Abstract

A group of 100 patients with juvenile diabetes, age at onset 1-15 years (7.1 +/- 3.9), was studied with reference to family history of diabetes (FHD), HLA-types, symptoms at onset of diabetes, and occurrence of partial postinitial remission. No significant relations were seen between HLA-types and FHD. Nor was there any correlation between FHD and age at onset of diabetes, severity of th disease at onset, or occurrence of remission. Patients with a dominant type of inheritance were insulin-dependent to the same extent as those with less pronounced or no known FHD. According to previous results, it is concluded that all children and adolescents with a newly diagnosed diabetes should receive insulin treatment immediately to minimize further loss of B-cell function.

摘要

对一组100例青少年糖尿病患者进行了研究,发病年龄为1至15岁(平均7.1±3.9岁),研究内容包括糖尿病家族史(FHD)、HLA类型、糖尿病发病时的症状以及初始缓解后部分缓解的发生情况。未发现HLA类型与FHD之间存在显著关系。FHD与糖尿病发病年龄、发病时疾病严重程度或缓解的发生之间也没有相关性。具有显性遗传类型的患者与FHD不明显或无已知FHD的患者胰岛素依赖程度相同。根据先前的结果,得出结论:所有新诊断为糖尿病的儿童和青少年应立即接受胰岛素治疗,以尽量减少B细胞功能的进一步丧失。

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