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Diurnal and twenty-four hour patterning of human diseases: acute and chronic common and uncommon medical conditions

机译:人类疾病的昼夜模式和24小时模式:急性和慢性常见和不常见的医疗状况

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The symptom intensity and mortality of human diseases, conditions, and syndromes exhibit diurnal or 24 h patterning, e.g., skin: atopic dermatitis, urticaria, psoriasis, and palmar hyperhidrosis; gastrointestinal: esophageal reflux, peptic ulcer (including perforation and hemorrhage), cyclic vomiting syndrome, biliary colic, hepatic variceal hemorrhage, and proctalgia fugax; infection: susceptibility, fever, and mortality; neural: frontal, parietal, temporal, and occipital lobe seizures, Parkinson's and Alzheimer's disease, hereditary progressive dystonia, and pain (cancer, post-surgical, diabetic neuropathic and foot ulcer, tooth caries, burning mouth and temporomandibular syndromes, fibromyalgia, sciatica, intervertebral vacuum phenomenon, multiple sclerosis muscle spasm, and migraine, tension, cluster, hypnic, and paroxysmal hemicranial headache); renal: colic and nocturnal enuresis and polyuria; ocular: bulbar conjunctival redness, keratoconjunctivitis sicca, intraocular pressure and anterior ischemic optic neuropathy, and recurrent corneal erosion syndrome; psychiatric/behavioral: major and seasonal affective depressive disorders, bipolar disorder, parasuicide and suicide, dementia-associated agitation, and addictive alcohol, tobacco, and heroin cravings and withdrawal phenomena; plus autoimmune and musculoskeletal: rheumatoid arthritis, osteoarthritis, axial spondylarthritis, gout, Sjogren's syndrome, and systemic lupus erythematosus. Knowledge of these and other 24 h patterns of human pathophysiology informs research of their underlying circadian and other endogenous mechanisms, external temporal triggers, and more effective patient care entailing clinical chronopreventive and chronotherapeutic strategies. (C) 2014 Elsevier Ltd. All rights reserved.
机译:人类疾病,病症和综合征的症状强度和死亡率表现为昼夜或24小时模式,例如皮肤:特应性皮炎,荨麻疹,牛皮癣和多汗症;胃肠道:食道反流,消化性溃疡(包括穿孔和出血),循环性呕吐综合征,胆绞痛,肝静脉曲张出血和proctalgia fugax;感染:易感性,发烧和死亡率;神经性:额叶,顶叶,颞叶和枕叶癫痫,帕金森氏症和阿尔茨海默氏病,遗传性进行性肌张力障碍和疼痛(癌症,外科手术后,糖尿病性神经病和足溃疡,龋齿,口腔和颞下颌综合征灼热,纤维肌痛,坐骨神经痛椎间抽真空现象,多发性硬化症肌肉痉挛,偏头痛,紧张,丛集,精神错乱和阵发性半颅性头痛);肾脏:绞痛和夜间遗尿及多尿;眼球:球结膜发红,干燥性角膜结膜炎,眼压和前部缺血性视神经病变以及复发性角膜侵蚀综合征;精神病/行为:主要和季节性的情绪抑郁症,躁郁症,自杀和自杀,与痴呆症相关的躁动,上瘾的酒精,烟草和海洛因渴望和戒断现象;加上自身免疫和肌肉骨骼:类风湿性关节炎,骨关节炎,轴突性脊柱炎,痛风,干燥综合征(Sjogren's syndrome)和系统性红斑狼疮。对人类病理生理学的这些及其他24小时模式的了解有助于对其潜在的昼夜节律和其他内源性机制,外部时间触发因素以及更有效的患者护理进行研究,从而需要临床预防和计时疗法。 (C)2014 Elsevier Ltd.保留所有权利。

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