Current Status, Opportunities and Challenges of Rare Endocrine and Metabolic Diseases
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摘要: 内分泌代谢罕见病涉及种类众多,在临床诊断、发病机制、治疗方法的研究中面临诸多挑战。近年来,针对内分泌代谢罕见病的研究逐步完善,临床诊断水平有了大幅提高,疾病发生的分子机制研究逐渐深入,基于发病机制进行的治疗方法的探索也不断取得突破和进步。本文总结内分泌代谢罕见病的诊断、机制、治疗的研究现状,提出存在问题与挑战,并对未来方向与机遇做出规划和展望。Abstract: The rare endocrine and metabolic diseases, due to their varieties, face many challenges in the study of clinical diagnosis, pathogenesis, and treatment. In the past a couple of years, the research on rare endocrine and metabolic diseases has been gradually improved. The diagnosis has made great progress. The research into molecular mechanism of rare endocrine and metabolic diseases has significantly advanced. The effort in exploring the breakthroughs and progress in therapeutic methods based on the pathogenesis of the diseases has also made. This article provides a brief overview of the current status of research into diagnosis, mechanism, and treatment of rare endocrine and metabolic diseases. In addition, the article points out the problems and challenges and proposes future possibilities.
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Key words:
- rare endocrine and metabolic diseases /
- diagnosis /
- mechanism /
- treatment
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表 1 内分泌代谢罕见病分类
Table 1. The classification of rare endocine and metabolic diseases
分类 罕见病 垂体/肾上腺/性腺 自身免疫性垂体炎、莱伦氏综合征、先天性肾上腺发育不良、特发性低促性腺激素性性腺功能减退症、卡尔曼综合征、Prader-Willi综合征 酶缺乏 白化病、精氨酸酶缺乏症、β-酮硫解酶缺乏症、瓜氨酸血症、全羧化酶合成酶缺乏症、苯丙酮尿症、脑氨酸转移酶缺乏症、高苯丙氨酸血症、黏多糖贮积症 骨代谢 低碱性磷酸酶血症、低磷性佝偻病、McCune-Albrigh综合征、成骨不全症 糖脂代谢 法布雷病、戈谢病、尼曼匹克病、自身免疫性胰岛素受体病、先天性高胰岛素性低血糖症、糖原累积病、半乳糖血症、遗传性果糖不耐受症、枫糖尿症、新生儿糖尿病、家族性高胆固醇血症、先天性胆汁酸合成障碍 离子通道病 Gitelman综合征、遗传性低镁血症 其他 肝豆状核变性、同型半胱氨酸血症、多发性内分泌腺瘤综合征、POEMS综合征、Silver-Russell综合征 -
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