Endocrinologia, Diabetes y Nutricion最新文献

英文中文

Técnicas avanzadas de diagnóstico por imagen en patología hipofisaria 先进的垂体病理成像诊断技术

4区医学 Q3 Nursing

Endocrinologia, Diabetes y Nutricion

Pub Date : 2025-05-31 DOI: 10.1016/j.endinu.2025.501610

Beatriz Brea Álvarez

引用次数: 0

Prevalence of chronic kidney disease in patients treated in Endocrinology, Diabetes and Nutrition outpatient clinics: A single-center, cross-sectional, retrospective, descriptive study 在内分泌、糖尿病和营养门诊治疗的患者中慢性肾病的患病率：一项单中心、横断面、回顾性、描述性研究

4区医学 Q3 Nursing

Endocrinologia, Diabetes y Nutricion

Pub Date : 2025-05-29 DOI: 10.1016/j.endinu.2025.501612

Noel Roig-Marín , Javier Torres Hernández , Cristina Delicado Hernández , Laura Navarro Casado , Pedro J. Pinés Corrales

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Clinical, diagnostic and therapeutic aspects of Mauriac syndrome, a complication of type 1 diabetes mellitus: A systematic review 1型糖尿病并发症莫里亚克综合征的临床、诊断和治疗：系统综述

4区医学 Q3 Nursing

Endocrinologia, Diabetes y Nutricion

Pub Date : 2025-05-24 DOI: 10.1016/j.endinu.2025.501611

André Saad Cleto, João Matheus Schirlo, Mayara Beltrame, Victor Hugo Oliveira Gomes, Janete Machozeki, Camila Marinelli Martins

This systematic review aimed to present the main clinical, diagnostic and therapeutic aspects of Mauriac syndrome, which is a rare syndrome that mainly affects children and adolescents with uncontrolled type 1 diabetes mellitus. This review was carried out in accordance with PRISMA and registered in PROSPERO (CRD42024531249). The following databases were used in our search: PubMed, Lilacs and Scielo, on 04/02/2024. Studies that presented any data on patients with Mauriac syndrome were included, however, review studies, letters to the editor and animal studies were excluded. The risk of bias was assessed using a specific method for case reports. To analyze the results, the general, clinical, diagnostic and therapeutic characteristics were analyzed using a qualitative analysis. A total of 24 studies were included, 18 case reports and 6 case series. The patients’ mean age was 16.26 years, and the mean glycated hemoglobin was 12.93%. The main signs and symptoms reported were hepatomegaly (88%), short stature (52%), cushingoid features (35%) and abdominal discomfort (26%). The means of AST, ALT, GGT, alkaline phosphatase, total cholesterol, triglycerides and lactate were above the reference value. Some studies used abdominal ultrasound (US), abdominal computed tomography (CT) or liver biopsy to make the diagnosis. CT and US showed hepatomegaly, while liver biopsies showed glycogen accumulation in hepatocytes. Treatment in most studies was based on improving blood glucose levels and diet. Therefore, Mauriac syndrome has diverse symptoms. Lab test and imaging modalities can be useful to establish diagnosis.

本系统综述旨在介绍毛里亚克综合征的主要临床、诊断和治疗方面，这是一种罕见的综合征，主要发生在儿童和青少年未控制的1型糖尿病。该审查按照PRISMA进行，并在PROSPERO注册（CRD42024531249）。我们在2024年2月4日的搜索中使用了以下数据库：PubMed， Lilacs和Scielo。提供毛里亚克综合征患者数据的研究被包括在内，然而，综述研究、给编辑的信件和动物研究被排除在外。使用病例报告的特定方法评估偏倚风险。为了分析结果，采用定性分析方法分析一般、临床、诊断和治疗特点。共纳入24项研究，18例病例报告和6例病例系列。患者平均年龄16.26岁，平均糖化血红蛋白为12.93%。报告的主要体征和症状为肝肿大（88%）、身材矮小（52%）、库申样特征（35%）和腹部不适（26%）。AST、ALT、GGT、碱性磷酸酶、总胆固醇、甘油三酯、乳酸均高于参考值。一些研究使用腹部超声（US）、腹部计算机断层扫描（CT）或肝脏活检进行诊断。CT和US显示肝肿大，肝活检显示肝细胞糖原积聚。在大多数研究中，治疗是基于改善血糖水平和饮食。因此，毛里亚克综合征有多种症状。实验室检查和影像学检查有助于诊断。

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Resumen ejecutivo del documento «Hospital de Día de Diabetes. Propuesta de valor» 《糖尿病日间医院》文件执行摘要。价值主张”

4区医学 Q3 Nursing

Endocrinologia, Diabetes y Nutricion

Pub Date : 2025-05-12 DOI: 10.1016/j.endinu.2025.501601

Francisco Javier Escalada San Martín , Irene Bretón Lesmes , Fernando Gómez Peralta , Juan Francisco Merino Torres , Francisco Pomares Gómez , Ana Chico Ballesteros , José Miguel González-Clemente , Noemí González Pérez de Villar , Cristóbal Morales Portillo , Pedro José Pinés Corrales , Wifredo Ricart Engel , M. Teresa Benedito Pérez de Inestrosa , Carlos Miranda Fernández-Santos , Ezequiel Arranz , Guadalupe Fontán Vinagre , Juan Francisco Perán , Sedisa , María Asunción Martínez Brocca

引用次数: 0

Coexistencia de microcarcinoma papilar de tiroides y carcinoma medular de tiroides metastásicos en MEN 2B. Caso clínico y revisión de la literatura MEN 2B中甲状腺乳头状微癌和转移性甲状腺髓状癌共存。临床病例和文献综述

4区医学 Q3 Nursing

Endocrinologia, Diabetes y Nutricion

Pub Date : 2025-05-12 DOI: 10.1016/j.endinu.2025.501596

María Díaz-Tobarra , Sara Subirats Bort , Ignacio Peña Saiz de Aja , Gonzalo Villar García , Encarnación Lag Asturiano

引用次数: 0

Broadening perspectives on hypoglycemia diagnosis in non-diabetic patients 拓宽非糖尿病患者低血糖诊断的视角

4区医学 Q3 Nursing

Endocrinologia, Diabetes y Nutricion

Pub Date : 2025-05-10 DOI: 10.1016/j.endinu.2025.501599

Beatriz Rodríguez Jiménez , Ignacio Jiménez Varo , Fernando-Francisco Ortega Ortega , Mariola Méndez Muros , Félix Sánchez Fernández , María Asunción Martínez-Brocca

A 51-year-old man with a past medical history of chronic alcoholism was admitted for a planned fasting test due to suspected hypoglycemia. Despite previous evaluations by cardiology and neurology revealing no evident etiology, his syncopal episodes were suspected be associated with inconsistent hypoglycemic episodes. During his hospital admission, the patient experienced several syncopal episodes with associated seizures, which, at the time, were not related to hypoglycemia. This led to further investigation, including the exclusion of other causes, such as a possible autonomic dysfunction. Neurology consequently expanded the assessment, identifying subtle signs of mild parkinsonism and symptoms suggestive of a REM sleep disorder, which shifted the diagnostic suspicion.

This case underscores the importance of considering other clinical conditions when evaluating hypoglycemia, especially when classic symptoms are absent or inconsistently presented, and an endocrinological origin has been ruled out.

51岁男性，既往有慢性酒精中毒病史，因怀疑低血糖而入院接受空腹检查。尽管先前的心脏病学和神经学评估显示没有明确的病因，但他的晕厥发作被怀疑与不一致的低血糖发作有关。在住院期间，患者经历了几次晕厥发作并伴有癫痫发作，当时与低血糖无关。这导致进一步的调查，包括排除其他原因，如可能的自主神经功能障碍。神经学随后扩大了评估范围，发现了轻度帕金森症的细微迹象和暗示快速眼动睡眠障碍的症状，这改变了诊断的怀疑。本病例强调了在评估低血糖时考虑其他临床条件的重要性，特别是当经典症状不存在或不一致出现时，并已排除内分泌起源。

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引用次数: 0

Trans-signaling through the agonistic sIL-6R and an imbalanced inflammatory response are associated with increased susceptibility to Graves’ disease 通过激动性sIL-6R的反式信号传导和不平衡的炎症反应与格雷夫斯病易感性增加有关

4区医学 Q3 Nursing

Endocrinologia, Diabetes y Nutricion

Pub Date : 2025-04-30 DOI: 10.1016/j.endinu.2025.501598

Zulvikar Syambani Ulhaq , Zulkarnain Zulkarnain , Lola Ayu Istifiani , Syafrizal Aji Pamungkas , Susiati , Djoko Wahono Soeatmadji , Aulanni’am Aulanni’am

Background

Excessive inflammatory cytokines are known to impact immune response and autoimmunity. In this study, we quantified the level of interleukin (IL)-6, soluble IL-6 receptor (sIL-6R), glycoprotein 130 (sgp130) and IL-10 to determine their involvement in the pathogenesis of Graves’ disease (GD), in addition to the assessment serum cytokines IL-6, sIL-6R, sgp130, and IL-10 performance as biomarkers for the diagnosis of GD.

Methods

A total of 20 patients with GD and 21 healthy individuals from the Indonesian population were enrolled. The serum concentrations of the selected cytokines were quantified using the ELISA method. Thyroid-stimulating hormone (TSH), free thyroxine (FT4), free triiodothyronine (FT3), and TSH receptor antibody (TSHR-Ab) were also evaluated. Comparative analysis was performed in addition to the assessment of the diagnostic performance of cytokines using receiver-operating-curve (ROC) analysis. Pearson's correlation coefficient was used to assess the relationship between 2 quantitative variables.

Results

Patients with GD had a higher IL-6, sIL-6R, and IL-6/IL-10 ratio but a lower sgp130/sIL-6R/IL-6 ratio vs controls. The ROC curve analysis showed that the sgp130/sIL-6R/IL-6 ratio exhibited better performance than IL-6, sIL-6R, and IL-6/IL-10 ratio in diagnosing GD. In addition, serum levels of IL-6, sIL-6, and IL-10 were associated with thyroid parameters, including TSHR-antibody (Ab) levels.

Conclusion

IL-6 trans-signaling and imbalance of inflammatory response could be prominent factors in the pathogenesis of GD.

背景炎性细胞因子过多会影响免疫反应和自身免疫。在本研究中，我们量化了白细胞介素(IL)-6、可溶性IL-6受体（sIL-6R）、糖蛋白130 （sgp130）和IL-10的水平，以确定它们在Graves病（GD）发病中的作用，并评估了血清细胞因子IL-6、sIL-6R、sgp130和IL-10的表现，作为GD诊断的生物标志物。方法从印度尼西亚人群中选取20例GD患者和21例健康人作为研究对象。采用ELISA法定量所选细胞因子的血清浓度。同时检测促甲状腺激素（TSH）、游离甲状腺素（FT4）、游离三碘甲状腺原氨酸（FT3）和TSH受体抗体（TSHR-Ab）。采用受体-工作曲线（ROC）分析对细胞因子的诊断效能进行评价，并进行比较分析。采用Pearson相关系数评价两个定量变量之间的关系。结果GD患者IL-6、sIL-6R和IL-6/IL-10比值高于对照组，但sgp130/sIL-6R/IL-6比值低于对照组。ROC曲线分析显示，sgp130/sIL-6R/IL-6比值在诊断GD方面优于IL-6、sIL-6R和IL-6/IL-10比值。此外，血清IL-6、sIL-6和IL-10水平与甲状腺参数相关，包括tshr抗体（Ab）水平。结论il -6反式信号和炎症反应失衡可能是GD发病的重要因素。

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De la teleconsulta de la COVID-19 a la teleconsulta de la inteligencia artificial 从2019冠状病毒病远程咨询到人工智能远程咨询

4区医学 Q3 Nursing

Endocrinologia, Diabetes y Nutricion

Pub Date : 2025-04-29 DOI: 10.1016/j.endinu.2025.501595

Ana Zugasti Murillo , Juan José Gorgojo Martínez

引用次数: 0

Riesgo de trastorno por déficit de atención con hiperactividad, diagnósticos de salud mental y experiencia de discriminación en adolescentes y jóvenes transgénero 跨性别青少年和青年患多动症、精神健康诊断和歧视经历的风险

4区医学 Q3 Nursing

Endocrinologia, Diabetes y Nutricion

Pub Date : 2025-04-29 DOI: 10.1016/j.endinu.2025.501593

Carmen Martínez del Río , Isabel Cuellar-Flores , Diego López de Lara , Raúl Castañeda-Vozmediano , María Miguélez González , Alicia Gaitero Pérez , Olga Pérez Rodríguez , Adrián García Ron

Introduction

Recent studies suggest a higher prevalence of attention-deficit hyperactivity disorder (ADHD) in transgender individuals compared to the general population. However, no studies have been conducted in the Spanish population, and most focus on individuals with a prior ADHD diagnosis rather than screening for the disorder.

Materials and methods

This is a single-center, cross-sectional observational study assessing the risk of ADHD in transgender adolescents and young adults compared to cisgender individuals using the World Health Organization's (WHO) Adult ADHD Self-Report Scale (ASRS-V1.1). Additionally, previous mental health diagnoses and experiences of discrimination are analyzed in both groups.

Results

Transgender youth scored higher on the short-form scale, indicating a greater risk of ADHD, as well as on the hyperactivity/impulsivity subscale. A significant association was also found between experiences of discrimination and a prior diagnosis of depression.

Conclusions

The ASRS-V1.1 scale may be useful for ADHD screening in transgender individuals; however, further studies are needed to confirm these findings. Risk factors for neurodevelopmental and anxiety-depressive disorders may differ in the transgender population.

最近的研究表明，与一般人群相比，变性人的注意力缺陷多动障碍（ADHD）患病率更高。然而，没有在西班牙人群中进行的研究，而且大多数研究都集中在先前诊断为多动症的个体上，而不是对这种疾病进行筛查。材料和方法这是一项单中心、横断面观察性研究，使用世界卫生组织（WHO）成人ADHD自我报告量表（ASRS-V1.1）评估跨性别青少年和年轻人与顺性个体相比患ADHD的风险。此外，还分析了两组以前的心理健康诊断和歧视经历。结果跨性别青少年在短形式量表和多动/冲动量表上得分较高，表明其患ADHD的风险更高。被歧视的经历和先前的抑郁症诊断之间也有显著的联系。结论ASRS-V1.1量表可用于跨性别者ADHD筛查；然而，需要进一步的研究来证实这些发现。神经发育障碍和焦虑抑郁障碍的危险因素在跨性别人群中可能有所不同。

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引用次数: 0

Estimación de la incidencia y prevalencia de la diabetes mellitus tipo 1 en menores de 15 años en España 西班牙15岁以下1型糖尿病的发病率和患病率估计

4区医学 Q3 Nursing

Endocrinologia, Diabetes y Nutricion

Pub Date : 2025-04-26 DOI: 10.1016/j.endinu.2025.501591

Santiago Conde Barreiro , Beatriz González Pelegrín , Bárbara Quevedo Beneyto , Cristina Feja Solana , Carmen Malo Aznar , Gemma Rojo-Martínez , Edelmiro Menéndez Torre , Fernando Gómez Peralta

Introduction

Epidemiological studies on type 1 diabetes mellitus (DM1) have been developed in almost all the Spanish geography, but no registry currently provides national incidence and prevalence figures. This study aims to estimate the incidence of DM1 in children under 15 years of age in Spain based on the available studies, and to know the prevalence of diabetes in children under 15 years of age based from the data collected in the Primary Care Clinical Database (BDCAP).

Material and methods

Bibliographic review of publications and communications that provided data up to December 2020. Estimation of the average incidence in Spain, based on data from each autonomous community. Estimation of the prevalence of DM1 in children under 15 years of age according to BDCAP.

Results

The reported incidences varied from 7.9 cases/100,000 population per year (c/10⁵ppy) in the Balearic Islands to 30.48 c/10⁵ppy in Gran Canaria. Diagnosis in diabetic ketoacidosis (DKA) is found in approximately one third of cases (21-43.7%). The average incidence of DM1 in children under 15 years of age in Spain would be 20.54 c/10⁵ppy, with about 1,398 new cases per year. BDCAP records 12,346 cases of diabetes in children under 15 years of age, with a prevalence of 1.96 cases/1,000 population.

Conclusions

There are studies of DM1 incidence in almost all Spanish communities. The incidence of DM1 in children under 15 years of age in Spain is very high according to the WHO classification (> 20 c/10⁵ppy). The proportion of cases diagnosed with CAD is high, suggesting that programs to improve the early diagnosis of DM1 are still needed.

西班牙几乎所有地区都开展了1型糖尿病（DM1）的流行病学研究，但目前没有提供全国发病率和流行率数据的登记处。本研究旨在根据现有研究估计西班牙15岁以下儿童DM1的发病率，并根据初级保健临床数据库（BDCAP）收集的数据了解15岁以下儿童糖尿病的患病率。材料和方法对截至2020年12月提供数据的出版物和通讯进行书目审查。根据每个自治区的数据估计西班牙的平均发病率。根据BDCAP估计15岁以下儿童DM1患病率。结果报告的发病率从巴利阿里群岛的7.9例/10万人/年（c/105ppy）到大加那利岛的30.48例/105ppy不等。糖尿病酮症酸中毒（DKA）的诊断在大约三分之一的病例中发现（21-43.7%）。西班牙15岁以下儿童DM1的平均发病率为20.54 c/105，每年约有1398例新病例。BDCAP记录了15岁以下儿童糖尿病病例12,346例，患病率为1.96例/1,000人。结论在几乎所有西班牙社区都有DM1发病率的研究。根据世卫组织的分类，西班牙15岁以下儿童DM1的发病率非常高(>；20 c / 105 ppy)。诊断为CAD的病例比例很高，这表明仍然需要提高DM1的早期诊断。

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