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对HIV感染的内分泌反应。甲状腺的受累情况。

Endocrine response to HIV infection. Involvement of thyroid gland.

作者信息

Carta S, Olivieri A, Sorcini M, Medda E, Fazzini C, Battisti P, Sorcini I, Grandolfo M E

机构信息

Laboratorio di Metabolismo e Biochimica Patologica, Istituto Superiore di Sanità, Rome, Italy.

出版信息

Ann Ist Super Sanita. 1993;29(3):451-6.

PMID:8172465
Abstract

Endocrine dysfunctions were associated at different stages of infection, including those early in the course of HIV infection. In fact adrenal insufficiency, hyporeninemic hypoaldosteronism, hyponatremia, reduced gonadotropins levels, gonadal abnormalities and changes in hormone-binding proteins were reported in HIV infection. Also a thyroid involvement with autoimmune phenomena was observed in HIV infection by several studies giving different explanations of altered thyroid conditions. These findings suggest an effect of HIV on endocrine system. Recognition of endocrine manifestations in these patients may contribute to better characterize different stages of the infection and improve the management of HIV patients.

摘要

内分泌功能障碍与感染的不同阶段相关,包括HIV感染病程早期。事实上,在HIV感染中已报告存在肾上腺功能不全、低肾素性低醛固酮血症、低钠血症、促性腺激素水平降低、性腺异常以及激素结合蛋白的变化。多项研究还观察到HIV感染伴有自身免疫现象的甲状腺受累情况,这些研究对甲状腺状况改变给出了不同解释。这些发现提示HIV对内分泌系统有影响。认识这些患者的内分泌表现可能有助于更好地界定感染的不同阶段,并改善HIV患者的管理。

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