[1]甘地,高城翰,高天舒.不能忽视的内分泌代谢源性发热[J].国际内分泌代谢杂志,2021,41(06):636-640.[doi:10.3760/cma.j.cn121383-20200617-06045]
　Gan Di,Gao Chenghan,Gao Tianshu..Pyrexia associated with endocrine and metabolic disorders which can not be ignored[J].International Journal of Endocrinology and Metabolism,2021,41(06):636-640.[doi:10.3760/cma.j.cn121383-20200617-06045]
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不能忽视的内分泌代谢源性发热()
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《国际内分泌代谢杂志》[ISSN:1673-4157/CN:12-1383/R]

卷:
41
期数:
2021年06期
页码:
636-640
栏目:
综述
出版日期:
2021-12-20

文章信息/Info

Title:
Pyrexia associated with endocrine and metabolic disorders which can not be ignored
作者:
甘地1; 高城翰1; 2; 高天舒2
1辽宁中医药大学,沈阳 110032; 2辽宁中医药大学附属医院内分泌科,沈阳市内分泌代谢疾病临床医学研究中心 110032
Author(s):
Gan Di1;  Gao Chenghan1; 2;  Gao Tianshu1; 2.
1Liaoning University of Traditional Chinese Medicine, Shenyang 110032, China; 2Department of Endocrinology, Clinical Medical Research Center(Traditional Chinese Medicine)of Endocrinology and Metabolism Diseases of Shenyang, the Affil
关键词:
内分泌代谢疾病;  发热
Keywords:
Endocrine and metabolic disorders;  Fever
DOI:
10.3760/cma.j.cn121383-20200617-06045
摘要:
发热是内科疾病最为常见的临床症状之一,但因其病因多样且复杂,同时缺乏特异性,临床常易误诊、误治。而内分泌代谢疾病属于少见的发热病因,因而更容易被临床医生所忽视。近年来,随着实验室检查及影像学诊断技术的发展,内分泌代谢源性发热疾病的检出率不断提高。内分泌代谢疾病引起的发热多与激素合成与分泌异常、产能物质和非产能物质的代谢障碍相关,并涉及炎症、神经-体液调节等途径。充分认识引起内分泌代谢源性发热疾病的发病机制、临床特异性表现、管理方案对于内分泌科医生的临床决策有着至关重要的意义。
Abstract:
Pyrexia is one of the most common clinical manifestations that is often misdiagnosed and mistreated in internal diseases, due to its diverse and complex etiology and lack of specificity. Endocrine and metabolic disorders are rare etiology of pyrexia, so they are more likely to be ignored by clinicians. In recent years, with the development of laboratory examination and imaging diagnosis technology, the detection rates of pyrexia associated with endocrine and metabolic disorders is increasing. The pathophysiological basis of pyrexia caused by endocrine and metabolic disorders is mostly related to hormone synthesis and abnormal secretion, metabolic dysfunction of energy-yielding substances as well as non-energy-yielding substances, and meanwhile involves pathways such as inflammation and neuro-humoral regulation. It is important to endocrinologists to fully understand the pathogenesis, clinical specific manifestations and management strategies of pyrexia associated with endocrine and metabolic disorders to make clinical decision.

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金(81874441)
通信作者:高天舒, Email:gaotianshu67@163.com
更新日期/Last Update: 2021-12-10