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雄激素部分缺乏误诊为中老年抑郁和痴呆1例
引用本文:李洪涛,曹天忠,李宏军.雄激素部分缺乏误诊为中老年抑郁和痴呆1例[J].中华男科学杂志,2005,11(6):468-469.
作者姓名:李洪涛  曹天忠  李宏军
作者单位:1. 辽宁省第三人民医院精神科,辽宁省精神卫生中心,辽宁,开原,112300
2. 丹东市第三医院精神科,辽宁,丹东,118000
3. 北京协和医院泌尿外科,北京,100730
摘    要:中老年男性出现一系列雄激素部分缺乏的临床症状特别容易与抑郁和痴呆相互混淆,并因此而造成误诊误治。本文报道了1例中老年男性雄激素部分缺乏综合征(PADAM)患者反复被误诊为老年抑郁和痴呆,值得引起临床关注。造成误诊误治的原因主要包括对PADAM的含义不了解、临床症状缺乏特异性、没有进行必要的专科检查和激素水平分析等。

关 键 词:中老年男性雄激素部分缺乏  抑郁  痴呆  男性更年期综合征
文章编号:1009-3591(2005)06-0468-02
修稿时间:2004年11月17

Partial Androgen Deficiency in the Aging Male Apt to Be Misdiagnosed as Depression and Dementia:a Typical Case Report
LI Hong-tao,CAO Tian-zhong,LI Hong-jun.Partial Androgen Deficiency in the Aging Male Apt to Be Misdiagnosed as Depression and Dementia:a Typical Case Report[J].National Journal of Andrology,2005,11(6):468-469.
Authors:LI Hong-tao  CAO Tian-zhong  LI Hong-jun
Institution:Center of Mental Hygiene, Third People's Hospital of Liaoning Province, Kaiyuan, Liaoning 112300, China. hongjun63@163.com
Abstract:A series of clinical symptoms associated with partial androgen deficiency in middle-aged and old males are apt to be confused with those of depression and dementia, and therefore result in misdiagnosis and mistreatment. This article reports a case of partial androgen deficiency in the aging male (PADAM) repeatedly misdiagnosed as depression and dementia, which demands sufficient clinical attention. The main reasons for the misdiagnosis and mistreatment lie in unfamiliarity with PADAM, lack of specific symptoms of the condition, omission of special examinations and hormone level analysis.
Keywords:partial androgen deficiency in the aging male  depression  dementia  andropause
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