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Cerebral Infarction in Three Infant Cases of Congenital Adrenal Hyperplasia

机译:三例婴儿先天性肾上腺皮质增生病例的脑梗死

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The objective of this study was to discuss the etiology of cerebral infarction in three cases of congenital adrenal hyperplasia (CAH) based on detailed individual case reports. Patients consisted of three children, two female, one male, 3y, 2y 6mon., and 3y 6mon, with CAH who developed cerebral infarction. The possibility of cerebral infarction following hypoglycemia due to adrenal insufficiency can be considered but the evidence is not conclusive. The combination of cerebral infarction, a rare condition among children, and CAH might not be accidental but suggests the possibility that CAH itself or treatment with glucocorticoid and/or mineralocorticoid or an inadequate treatment under stressful condition may be the cause of the cerebral infarction.
机译:这项研究的目的是在详细的个别病例报告的基础上,讨论3例先天性肾上腺皮质增生(CAH)病例的脑梗死病因。患者由3名儿童组成,其中2名女性,1名男性,3y,2y 6mon和3y 6mon患有发展为脑梗死的CAH。可以考虑由于肾上腺功能不全引起的低血糖后脑梗死的可能性,但证据尚无定论。脑梗死,儿童罕见病和CAH的结合可能不是偶然的,但表明CAH本身或糖皮质激素和/或盐皮质激素的治疗​​或在压力条件下的治疗不足可能是脑梗死的原因。

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