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Aggravating factors for osteoporosis; a brief overview of the current findings 骨质疏松的加重因素;简要概述一下目前的研究结果
Pub Date : 2023-07-27 DOI: 10.34172/jpd.2023.11214
M. Zahmatkesh
Osteoporosis is a chronic condition characterized by low bone density and deterioration of bone tissue. Several factors such as age, gender, genetics, and lifestyle choices can contribute to the development of osteoporosis.
骨质疏松症是一种以低骨密度和骨组织退化为特征的慢性疾病。年龄、性别、基因和生活方式等因素都可能导致骨质疏松症的发生。
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引用次数: 0
Pharmacological effect of sodium-glucose cotransporter 2 inhibitors in reducing the incidence of nephrolithiasis 钠-葡萄糖共转运蛋白2抑制剂降低肾结石发生率的药理作用
Pub Date : 2023-07-09 DOI: 10.34172/jpd.2023.11220
Arash Najafian, Sadaf Esteki
Nephrolithiasis is one of the common diseases without effective treatment, the incidence of which has increased in the world in recent decades. Sodium-glucose co-transporter 2 inhibitor can reduce the probability of nephrolithiasis in diabetic and non-diabetic people.
肾结石是一种无有效治疗的常见病,近几十年来在世界范围内发病率呈上升趋势。钠-葡萄糖共转运蛋白2抑制剂可降低糖尿病和非糖尿病患者肾结石的发生几率。
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引用次数: 0
Hypocalcemia in thalassemia major patients requires an extra-careful approach 地中海贫血重症患者的低钙需要格外小心
Pub Date : 2023-07-04 DOI: 10.34172/jpd.2023.11203
M. Bahadoram, B. Keikhaei, M. Davoodi, Najmeh Nameh Goshay Fard, Pouria Ghiasi, E. Akade
Thalassemia is a hematological disorder caused by a gene mutation that leads to defective synthesis of hemoglobin complex. One of the complications of thalassemia is hypocalcemia which is presented with paresthesia, muscle spasm, low-serum calcium, and intracranial calcification. Hypocalcemia can affect thalassemic patients via various mechanisms. Blood transfusion-related and transfusion-independent iron overload, drug side effects, vitamin D3 deficiency, and genetic disorders and polymorphisms are among the etiologies of hypocalcemia in major thalassemia. A careful approach to the differential etiology of this phenomenon is crucial for a resultful treatment.
地中海贫血是一种由基因突变引起的血液学疾病,导致血红蛋白复合物合成缺陷。地中海贫血的并发症之一是低钙血症,表现为感觉异常、肌肉痉挛、低血钙和颅内钙化。低钙血症可通过多种机制影响地中海贫血患者。输血相关和输血无关的铁超载、药物副作用、维生素D3缺乏、遗传疾病和多态性是严重地中海贫血低钙症的病因。仔细研究这种现象的不同病因是有效治疗的关键。
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引用次数: 0
Sonidegib induced rhabdomyolysis in kidney transplant patient: a case report 索地吉致肾移植患者横纹肌溶解1例
Pub Date : 2023-07-04 DOI: 10.34172/jpd.2023.11204
S. Mocka, S. Ferraro, M. Ardini, M. Marchini, Laura Panaro, M. Trezzi, D. Rolla
Kidney transplant recipients (KTR) have a higher risk of developing malignancies compared to the general population, due to the immunosuppressive regimens which can promote the oncogenesis process. The incidence of de novo non-melanoma skin cancer (NMSC) in KTR is greater than in the general population. Basal cell carcinoma (BCC) represents one of the most frequent malignancies in KTR. Sonidegib is a Hedgehog signaling pathway inhibitor approved for the treatment of locally advanced basal-cell carcinoma (LABCC) that following surgery or radiation therapy, or is given to those candidates who are not eligible to surgery or radiation therapy. This paper reports the case of a kidney transplant patient, who developed severe acute kidney injury (AKI) due to rhabdomyolysis (RML) induced by sonidegib therapy which required renal replacement therapy (RRT).
与一般人群相比,肾移植受者(KTR)患恶性肿瘤的风险更高,因为免疫抑制方案可以促进肿瘤的发生过程。KTR患者新发非黑色素瘤皮肤癌(NMSC)的发生率高于一般人群。基底细胞癌(BCC)是KTR最常见的恶性肿瘤之一。Sonidegib是一种刺猬信号通路抑制剂,被批准用于治疗手术或放疗后的局部晚期基底细胞癌(LABCC),或给予那些不符合手术或放疗条件的候选人。本文报道一例肾移植患者,因索地吉治疗引起的横纹肌溶解(RML)而发生严重急性肾损伤(AKI),需要肾替代治疗(RRT)。
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引用次数: 0
Brown tumor in hyperparathyroidism; a new look at an old problem 甲状旁腺功能亢进棕色肿瘤;对老问题的新看法
Pub Date : 2023-06-27 DOI: 10.34172/jpd.2023.11207
S. Toumaj
Implication for health policy/practice/research/medical education: Brown tumors are uncommon in general (around 0.1%), however they tend to be more common in people with primary and secondary hyperparathyroidism.
对卫生政策/实践/研究/医学教育的启示:棕色肿瘤一般不常见(约0.1%),但在原发性和继发性甲状旁腺功能亢进患者中更为常见。
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引用次数: 0
Hyperparathyroidism during pregnancy, a mini review to complications and treatments 妊娠期间甲状旁腺功能亢进,并发症和治疗的小回顾
Pub Date : 2023-06-17 DOI: 10.34172/jpd.2023.11210
Fateme Sharafeddin, Golnaz Goudarzi
Hyperparathyroidism (HPT) is one of the most common endocrine disorders, however it is a rare disease during pregnancy with notable maternal and fetal morbidity and mortality. We investigated 46 articles in PubMed database that seven articles focused on this topic. This review will examine the maternal and neonatal complications and the options for managing and treating this disease during pregnancy.
甲状旁腺功能亢进(HPT)是最常见的内分泌疾病之一,但它是一种罕见的疾病,在妊娠期间母婴的发病率和死亡率都很高。我们调查了PubMed数据库中的46篇文章,其中7篇是关于这个主题的。本综述将探讨孕产妇和新生儿并发症以及在妊娠期间管理和治疗这种疾病的选择。
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引用次数: 0
Serum uric acid-reduction and blood pressure changes in allopurinol administered hemodialysis patients; a pilot study 别嘌呤醇对血液透析患者血清尿酸降低及血压的影响一项初步研究
Pub Date : 2023-04-15 DOI: 10.34172/jpd.2023.11202
Saeed Mardani, H. Mardanparvar, M. Momenzadeh, Seyedeh Fatameh Nourbakhsh Rezaiee, Mohammad-Reza Hajian
Introduction: Hypertension is one of the most common diseases and is the main cause of disability and mortality worldwide. Hyperuricemia has been recognized as one of the main causes of hypertension; however, few studies have been conducted to determine the correlation between serum uric acid reduction and blood pressure changes. Objective: This study aimed to assess the correlation between serum uric acid-reduction and blood pressure changes in a group of hemodialysis patients. Patients and Methods: This descriptive-analytical study was conducted on 21 hemodialysis patients taking allopurinol for the first time. Serum uric acid, systolic blood pressure, and diastolic blood pressure were measured before taking allopurinol, then patients were followed for two months, and these parameters were remeasured. Data were collected and the correlation between serum uric acid-reduction and blood pressure changes was evaluated. Results: Most patients were female, with a mean age of 56.81 ± 15.59 years. Results showed that the correlation between serum uric acid reduction and blood pressure changes was statistically significant with a ratio of 3.6 reduction for systolic blood pressure and 2.17 for diastolic blood pressure per one unit of uric acid reduction (P<0.05). Conclusion: Uric acid reduction is correlated with blood pressure reduction with both systolic and diastolic blood pressures.
高血压是世界上最常见的疾病之一,也是导致残疾和死亡的主要原因。高尿酸血症已被认为是高血压的主要原因之一;然而,很少有研究确定血清尿酸降低与血压变化之间的相关性。目的:本研究旨在评估血透患者血清尿酸降低与血压变化的相关性。患者与方法:对21例首次服用别嘌呤醇的血液透析患者进行描述性分析研究。服用别嘌呤醇前测定血清尿酸、收缩压、舒张压,随访2个月后重新测定。收集数据并评估血清尿酸降低与血压变化之间的相关性。结果:患者以女性为主,平均年龄56.81±15.59岁。结果血清尿酸降低与血压变化的相关性有统计学意义,每单位尿酸降低收缩压降低3.6倍,舒张压降低2.17倍(P<0.05)。结论:尿酸降低与收缩压和舒张压降低相关。
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引用次数: 0
Current status and perspectives of ultrasound-guided ablation techniques in patients with primary hyperparathyroidism 超声引导消融治疗原发性甲状旁腺功能亢进的现状及展望
Pub Date : 2023-04-01 DOI: 10.34172/jpd.2023.11199
M. Jafari, Ali Rastegar-Kashkouli, Pourya Yousefi, Ashkan Khavaran, Mohammad Sharifi, A. Baradaran, P. Yousefi, Dordaneh Rastegar
Primary hyperparathyroidism (PHPT) is an endocrine disorder characterized by elevated or inappropriately parathormone levels. The most common cause of PHPT is solitary parathyroid adenoma (80-85%). Parathyroid surgery generally encompasses symptomatic PHPT and asymptomatic patients who meet the surgical guideline criteria. If surgery is contraindicated, several non-surgical ablative techniques can be conducted to eliminate the pathological parathyroid tissue, which causes tissue necrosis in the affected gland. This review aims to look into the most recent studies on the efficacy of percutaneous ethanol injection therapy (PEIT), laser ablation (LA), radiofrequency ablation (RFA), microwave ablation (MWA), and high-intensity focused ultrasound (HIFU) in treatment of PHPT and analyze their application prospects. PEIT is a classic method that is less commonly used nowadays. The analysis of thermal ablation methods revealed that LA is inefficient and requires considerable repetition. Meanwhile, the MWA and RFA have a cure rate of over 85% and fewer complications; it seems that they have the potential to replace surgical methods in the future.
原发性甲状旁腺功能亢进(PHPT)是一种以甲状旁腺激素水平升高或不适当为特征的内分泌疾病。PHPT最常见的病因是单发甲状旁腺瘤(80-85%)。甲状旁腺手术一般包括有症状的PHPT和符合手术指导标准的无症状患者。如果手术禁忌,可以进行几种非手术消融技术来消除病理性甲状旁腺组织,这种组织会导致受影响腺体的组织坏死。本文综述了经皮乙醇注射治疗(PEIT)、激光消融(LA)、射频消融(RFA)、微波消融(MWA)和高强度聚焦超声(HIFU)治疗PHPT的最新研究进展,并对其应用前景进行了分析。PEIT是一种经典的方法,现在不太常用。热烧蚀方法的分析表明,LA是低效的,需要大量的重复。同时,MWA和RFA治愈率均在85%以上,并发症少;看来它们在未来有可能取代手术方法。
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引用次数: 0
The pathology of brown tumor in a-36-year-old man on maintenance hemodialysis 36岁男性维持性血液透析棕色肿瘤的病理分析
Pub Date : 2023-03-31 DOI: 10.34172/jpd.2023.11200
Neda Arabizadeh, Danial Zakerzadeh, Reza Nakhaie, Mohammad Amin Alinejad, Pouria Barati, Abolfazl Samiei, Mohammad Mahdi Darvishi, H. Nasri, Ayda Hasanpour Dehkordi
Implication for health policy/practice/research/medical education: The brown tumor is a rare benign tumor developed by autonomous osteoclastic activity in hyperparathyroidism. In this photo-clinic, we present a 36-year-old man on chronic hemodialysis presented with a jaw mass. Radiography of the mandible showed a soft tissue mass lesion. Neck computed tomography showed a lytic lesion. A needle biopsy of the mandible showed a lobular design comprised of groups and clusters of osteoclast-like multinucleated giant cells, hemorrhage, and hemosiderin deposits and vascular fibroblastic stroma that were indicative of the brown tumor. Please
对卫生政策/实践/研究/医学教育的启示:棕色肿瘤是一种罕见的良性肿瘤,由甲状旁腺功能亢进患者的自主破骨细胞活动发展而来。在这个照片诊所,我们提出一个36岁的男子慢性血液透析提出了一个颌骨肿块。下颌骨x线片显示软组织肿块病变。颈部计算机断层扫描显示溶解性病变。下颌骨穿刺活检显示小叶结构,由成组和成团的破骨细胞样多核巨细胞、出血、含铁血黄素沉积和血管成纤维细胞基质组成,提示棕色肿瘤。请
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引用次数: 1
Role of hyperuricemia in cardiovascular disease and its treatment options: A review article 高尿酸血症在心血管疾病中的作用及其治疗选择:综述文章
Pub Date : 2023-03-18 DOI: 10.34172/jpd.2023.11174
Fatemeh Kafi, Pourya Yousefi, Sina Bakhshaei, Alireza Pouramini, Bina Bakhshaei, SriVaibhav Reddy, Krishina Theja Reddy
Cardiovascular disease (CVD) is one of the leading causes of mortality and morbidity worldwide. Several studies highlighted the association of CVD with hyperuricemia. We searched PubMed, EMBASE, Scopus, and DOAJ with the following keywords, including hyperuricemia and cardiovascular disease, to address these topics: 1) mechanism of hyperuricemia 2) relationship of hyperuricemia with cardiovascular disease 3) Treatment of hyperuricemia
心血管疾病(CVD)是世界范围内死亡率和发病率的主要原因之一。一些研究强调了心血管疾病与高尿酸血症的关系。我们检索了PubMed、EMBASE、Scopus和DOAJ等关键词,包括高尿酸血症和心血管疾病,以解决以下问题:1)高尿酸血症的机制2)高尿酸血症与心血管疾病的关系3)高尿酸血症的治疗
{"title":"Role of hyperuricemia in cardiovascular disease and its treatment options: A review article","authors":"Fatemeh Kafi, Pourya Yousefi, Sina Bakhshaei, Alireza Pouramini, Bina Bakhshaei, SriVaibhav Reddy, Krishina Theja Reddy","doi":"10.34172/jpd.2023.11174","DOIUrl":"https://doi.org/10.34172/jpd.2023.11174","url":null,"abstract":"Cardiovascular disease (CVD) is one of the leading causes of mortality and morbidity worldwide. Several studies highlighted the association of CVD with hyperuricemia. We searched PubMed, EMBASE, Scopus, and DOAJ with the following keywords, including hyperuricemia and cardiovascular disease, to address these topics: 1) mechanism of hyperuricemia 2) relationship of hyperuricemia with cardiovascular disease 3) Treatment of hyperuricemia","PeriodicalId":16657,"journal":{"name":"Journal of Parathyroid Disease","volume":"299 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91461394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of Parathyroid Disease
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