卡門氏症候群
卡爾曼綜合徵 | |
---|---|
GNRH1結構示意圖 (from PDB 1YY1) | |
症狀 | 嗅覺喪失、性腺功能低下症、骨質疏鬆症、不孕 |
類型 | hypogonadotropic hypogonadism[*]、疾病、intersex variation[*] |
分類和外部資源 | |
醫學專科 | 內分泌學 |
OMIM | 308700 |
DiseasesDB | 7091 |
eMedicine | 255152、122824 |
Orphanet | 478 |
卡爾曼綜合徵(英語:Kallmann syndrome)是一種罕見的遺傳性疾病,其特點是患者無法進入青春期或青春期發育不完全。該疾病也伴隨嗅覺喪失或嗅覺減退。此種疾病男女皆可發病,但多見於男性。患者若不進行治療大多會出現不育的情況。[1][2][3]
卡爾曼綜合徵的產生是由於在胚胎發育過程中,促性腺激素釋放激素釋放神經元無法遷移到正確的位置,導致下丘腦無法在適當的時間釋放促性腺激素釋放激素。[4][5]
卡爾曼綜合徵是性腺機能減退的一種形式。在出現性腺機能減退且伴隨嗅覺喪失的人群中約有50%被列為卡爾曼綜合徵。除去嗅覺喪失的症狀,針對卡爾曼綜合徵和性腺機能減退的診療並沒有什麼區別。[6][7]
此病由德裔美籍精神科醫師法蘭茲·約瑟夫·卡爾曼(Franz Josef Kallmann)於1944年首次描述,因此以他的姓氏命名。
參考文獻
- ^ Pitteloud, Nelly; Quinton, Richard; Pearce, Simon; Raivio, Taneli; Acierno, James; Dwyer, Andrew; Plummer, Lacey; Hughes, Virginia; Seminara, Stephanie. Digenic mutations account for variable phenotypes in idiopathic hypogonadotropic hypogonadism. Journal of Clinical Investigation. 2007-02-01, 117 (2): 457–463. ISSN 0021-9738. PMC 1765517 . PMID 17235395. doi:10.1172/JCI29884.
- ^ MacColl, Gavin; Bouloux, Pierre; Quinton, Richard. Kallmann syndrome: adhesion, afferents, and anosmia. Neuron. 2002-05-30, 34 (5): 675–678 [2016-08-08]. ISSN 0896-6273. PMID 12062015. (原始內容存檔於2018-07-06).
- ^ 衛生福利部國民健康署遺傳疾病諮詢服務窗口. gene.hpa.gov.tw. [2016-08-08]. (原始內容存檔於2016-09-19).
- ^ Schwanzel-Fukuda, M.; Bick, D.; Pfaff, D. W. Luteinizing hormone-releasing hormone (LHRH)-expressing cells do not migrate normally in an inherited hypogonadal (Kallmann) syndrome. Brain Research. Molecular Brain Research. 1989-12-01, 6 (4): 311–326 [2016-08-08]. ISSN 0169-328X. PMID 2687610. (原始內容存檔於2019-06-07).
- ^ Valdes-Socin, Hernan; Rubio Almanza, Matilde; Tomé Fernández-Ladreda, Mariana; Debray, François Guillaume; Bours, Vincent; Beckers, Albert. Reproduction, smell, and neurodevelopmental disorders: genetic defects in different hypogonadotropic hypogonadal syndromes. Neuroendocrine Science. 2014-01-01, 5: 109 [2016-08-08]. PMC 4088923 . PMID 25071724. doi:10.3389/fendo.2014.00109. (原始內容存檔於2016-04-05).
- ^ Boehm, Ulrich; Bouloux, Pierre-Marc; Dattani, Mehul T.; de Roux, Nicolas; Dodé, Catherine; Dunkel, Leo; Dwyer, Andrew A.; Giacobini, Paolo; Hardelin, Jean-Pierre. Expert consensus document: European Consensus Statement on congenital hypogonadotropic hypogonadism--pathogenesis, diagnosis and treatment. Nature Reviews. Endocrinology. 2015-09-01, 11 (9): 547–564 [2016-08-08]. ISSN 1759-5037. PMID 26194704. doi:10.1038/nrendo.2015.112. (原始內容存檔於2019-06-04).
- ^ Guo, C. Y.; Jones, T. H.; Eastell, R. Treatment of isolated hypogonadotropic hypogonadism effect on bone mineral density and bone turnover. The Journal of Clinical Endocrinology and Metabolism. 1997-02-01, 82 (2): 658–665 [2016-08-08]. ISSN 0021-972X. PMID 9024272. doi:10.1210/jcem.82.2.3758. (原始內容存檔於2019-06-04).