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肾上腺大结节样增生一例报道
引用本文:周薇薇,姜蕾,苏颋为,蒋怡然,王毅峰,唐欣,俞放,祝宇,孙福康,方文强,金晓龙,宁光,王卫庆. 肾上腺大结节样增生一例报道[J]. 上海交通大学学报(医学版), 2010, 30(5): 500-502
作者姓名:周薇薇  姜蕾  苏颋为  蒋怡然  王毅峰  唐欣  俞放  祝宇  孙福康  方文强  金晓龙  宁光  王卫庆
作者单位:1. 上海交通大学,医学院瑞金医院,内分泌代谢病科,上海市内分泌代谢病研究所上海市内分泌代谢病临床医学中心,上海,200025
2. 上海交通大学,医学院瑞金医院,泌尿外科,上海,200025
3. 上海交通大学,医学院瑞金医院,放射科,上海,200025
4. 上海交通大学,医学院瑞金医院,病理科,上海,200025
摘    要:库欣综合征(CS)中15%~20%是由肾上腺原因引起的,其中约10%的患者具有双侧肾上腺增生。肾上腺性CS中皮质醇分泌有时可受肾上腺异常膜受体(包括抑胃肽受体、精氨酸加压素受体、儿茶酚胺类受体、LH/hCG受体和5-羟色胺受体等)的调节。该文报道了1例促肾上腺皮质激素非依赖性大结节样肾上腺增生引起的CS患者,并通过体内试验证实了肾上腺异常膜受体的存在。

关 键 词:库欣综合征  促肾上腺皮质激素非依赖性大结节样肾上腺增生  异常膜受体

One case report of adrenocorticotrophic hormone independent macronodular adrenal hyperplasiaZHOU Wei-wei1, JIANG Lei1, SU Ting-wei1, JIANG Yi-ran1, WANG
ZHOU Wei-wei,JIANG Lei,SU Ting-wei,JIANG Yi-ran,WANG Yi-feng,TANG Xin,YU Fang,ZHU Yu,SUN Fu-kang,FANG Wen-qiang,JIN Xiao-long,NING Guang,WANG Wei-qing. One case report of adrenocorticotrophic hormone independent macronodular adrenal hyperplasiaZHOU Wei-wei1, JIANG Lei1, SU Ting-wei1, JIANG Yi-ran1, WANG[J]. Journal of Shanghai Jiaotong University:Medical Science, 2010, 30(5): 500-502
Authors:ZHOU Wei-wei  JIANG Lei  SU Ting-wei  JIANG Yi-ran  WANG Yi-feng  TANG Xin  YU Fang  ZHU Yu  SUN Fu-kang  FANG Wen-qiang  JIN Xiao-long  NING Guang  WANG Wei-qing
Affiliation:1.Department of Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Shanghai Clinical Center for Endocrine and Metabolic Diseases, 2.Department of Urology, 3.Department of Radiology, 4.Department of Pathology, Ruijin Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200025, China
Abstract:Primary adrenal causes contribute to 15% to 20% of Cushing's syndrome, and bilateral adrenal hyperplasia was found in 10% of patients with Cushing's syndrome. Cortisol secretion in adrenal Cushing's syndrome can be regulated by the aberrant adrenal expression of receptors for gastric inhibitory polypeptide, vasopressin, catecholamines, luteinizing hormone/human choriogonadotropin (LH/hCG) and serotonin. In this paper, a case of Cushing's syndrome caused by adrenocorticotrophic hormone-independent macronodular adrenal hyperplasia is reported.
Keywords:Cushing´s syndrome  adrenocorticotrophic hormone independent macronodular adrenal hyperplasia  aberrant membrane receptors
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