临床荟萃

• 专题 • 上一篇    下一篇

内分泌代谢罕见病的诊断和治疗

  

  1. 河北医科大学第二医院 内分泌科,河北 石家庄 050000
  • 出版日期:2019-03-20 发布日期:2019-04-08
  • 通讯作者: 通信作者:张松筠,Email:2574459696@qq.com
  • 作者简介:张松筠,医学博士,河北医科大学第二医院内分泌科副主任、主任医师、教授、博士研究生导师。 河北省药学会罕见病药学专业委员会主任委员,兼任中华医学会内分泌代谢学分会青年委员,河北省遗传学会遗传咨询专委会副主任委员,河北省医学会心身医学分会候任主任委员,河北省药学会内分泌代谢药学专业委员会副主任委员。曾获河北省科技厅科技进步三等奖,河北省卫生厅科技进步一等奖,河北省优秀科技工作者。发表学术论文 80余篇, 参编著作4部。主要研究方向内分泌代谢罕见病,糖尿病与认知功能障碍,下丘脑垂体疾病。

Diagnosis and treatment of rare diseases of endocrine metabolism

  1. Department of Endocrinology,  the Second Hospital of Hebei Medical University,  Shijiazhuang 050000,  China
  • Online:2019-03-20 Published:2019-04-08
  • Contact: Correspongding author: Zhang Songyun,Email:2574459696@qq.com

摘要: 内分泌代谢系统包括内分泌腺体和内分泌组织,通过分泌激素调节人体机能。内分泌罕见病发病隐匿,临床表现与常见病有重叠,其中不少疾病属于遗传病,诊断依赖基因检测,常规治疗效果欠佳。根据2018年我国发布的第一批罕见病目录中疾病主要累及的内分泌器官,选择卡尔曼综合征、B型胰岛素抵抗、低磷性佝偻病等典型的内分泌罕见病,从垂体、胰腺、骨代谢3个方面对内分泌罕见病的致病机制、临床特点、治疗方法做一系统阐述。

关键词: 罕见病, 卡尔曼综合征, 自身免疫性垂体炎, 特殊类型糖尿病, 代谢性骨病

Abstract:

The endocrine metabolic system includes endocrine glands and endocrine tissues that regulate body function by secreting hormones. The progress of endocrine rare diseases is concealed,  and the clinical manifestations overlap with common diseases. Many of them are genetic diseases, and the diagnosis depends on genetic testing. The conventional treatment is not effective. According to the first rare disease catalogue  issued  in China in 2018 and the endocrine organs mainly involved, we select typical endocrine rare diseases such as Kallmann syndrome,  type B insulin resistance and hypophosphatemic rickets for further investigation. With respect to  pituitary,  pancreatic and bone metabolism,  the pathogenesis,  clinical features,  treatment methods of endocrine rare diseases are systematically elaborated.

Key words: raredisease; , Kallmann syndrome; , autoimmune hypophysitis; , special type diabetes mellitus; , metabolic bone disease raredisease; , Kallmann syndrome; , autoimmune hypophysitis; , special type diabetes mellitus; , metabolic bone disease