プロラクチン分泌異常症
WordNet
- much greater than the normal; "abnormal profits"; "abnormal ambition"
- not normal; not typical or usual or regular or conforming to a norm; "abnormal powers of concentration"; "abnormal amounts of rain"; "abnormal circumstances"; "an abnormal interest in food" (同)unnatural
- departing from the normal in e.g. intelligence and development; "they were heartbroken when they learned their child was abnormal"; "an abnormal personality"
- an impairment of health or a condition of abnormal functioning
- the organic process of synthesizing and releasing some substance (同)secernment
- a functionally specialized substance (especially one that is not a waste) released from a gland or cell
- caused by or altered by or manifesting disease or pathology; "diseased tonsils"; "a morbid growth"; "pathologic tissue"; "pathological bodily processes" (同)morbid, pathologic, pathological
- gonadotropic hormone secreted by the anterior pituitary; in females it stimulates growth of the mammary glands and lactation after parturition (同)lactogenic_hormone, luteotropin
PrepTutorEJDIC
- 『異常な』,普通でない,規準をはずれた
- (体の)『病気』,疾患 / (精神・道徳などの)病気,病弊
- 女性の話術芸人 =diseur
- 〈C〉分泌(ぶんぴつ)作用(過程) / 〈C〉分泌物 / 〈U〉(…を)隠すこと《+『of』+『名』》
- 病気にかかった / 病的な,不健全な(morbid)
UpToDate Contents
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English Journal
- Dopaminergic drugs in type 2 diabetes and glucose homeostasis.
- Lopez Vicchi F1, Luque GM1, Brie B1, Nogueira JP2, Garcia Tornadu I1, Becu-Villalobos D3.
- Pharmacological research.Pharmacol Res.2016 Jul;109:74-80. doi: 10.1016/j.phrs.2015.12.029. Epub 2015 Dec 31.
- The importance of dopamine in central nervous system function is well known, but its effects on glucose homeostasis and pancreatic β cell function are beginning to be unraveled. Mutant mice lacking dopamine type 2 receptors (D2R) are glucose intolerant and have abnormal insulin secretion. In humans
- PMID 26748034
- Role of abnormal anterior pituitary hormones-growth hormone and prolactin in active systemic lupus erythematosus.
- Zhu X1, Xu J1, Li S1, Huang W1, Li F1.
- International journal of clinical and experimental medicine.Int J Clin Exp Med.2015 Oct 15;8(10):19223-31. eCollection 2015.
- BACKGROUND: The role of anterior pituitary hormones in systemic lupus erythematosus (SLE) remains controversial.AIMS AND OBJECTIVES: We determined the expression levels of human growth hormone (GH), prolactin (PRL), and their receptors in subjects presenting with SLE, and modulation of disease sever
- PMID 26770558
- Trypanosoma cruzi disrupts thymic homeostasis by altering intrathymic and systemic stress-related endocrine circuitries.
- Lepletier A1, de Carvalho VF, Rodrigues e Silva PM, Villar S, Pérez AR, Savino W, Morrot A.
- PLoS neglected tropical diseases.PLoS Negl Trop Dis.2013 Nov 14;7(11):e2470. doi: 10.1371/journal.pntd.0002470. eCollection 2013.
- We have previously shown that experimental infection caused by Trypanosoma cruzi is associated with changes in the hypothalamus-pituitary-adrenal axis. Increased glucocorticoid (GC) levels are believed to be protective against the effects of acute stress during infection but result in depletion of C
- PMID 24324845
Japanese Journal
- 植物状態患者における下垂体前葉ホルモン分泌能の検討
- 吉本 尚規,魚住 徹
- Neurologia medico-chirurgica 29(6), 490-495, 1989
- … Radioimmunoassays were employed to measure the secretion of growth hormone and cortisol during insulin tolerance testing (regular insulin, 0.15 to 0.20 U/kg), luteinizing hormone and follicle stimulating hormone under administration of luteinizing hormone-releasing hormone (100 μg), and thyroid stimulating hormone and prolactin under administration of thyroid-releasing hormone (500 μg) . …
- NAID 110002277906
★リンクテーブル★
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- 英
- prolactin secretion abnormal disease
- 同
- PRL分泌異常症
- 関
- プロラクチン
概念
- 下垂体からのプロラクチンの分泌が過剰もしくは低下した病態である。
- 難病であり、特定疾患治療研究事業の対象疾患である。
==疫学
- 13,000人と推定されている(参考2)
- 生殖年齢の女性に多い(参考2)
病因
- プロラクチン分泌過剰症:下垂体のプロラクチン産生細胞の異常、あるいは視床下部の調節機構の異常によりおこるが、最も多い原因はドパミン拮抗作用を持つ薬物の影響、次いでプロラクチン産生下垂体腺腫(プロラクチノーマ)である。
分類
検査
プロラクチン分泌過剰症
- 基礎血中プロラクチン値(早朝空腹時):≧20ng/ml以上。≧200ng/ml以上はプロラクチン産生下垂体腺腫が示唆され、視床下部性、薬剤性ではまずない。微小下垂体腺腫では30-100ng/mlの場合がある。慢性腎不全では100-200ng/mlであることがある。
- プロラクチン日内変化の消失:正常では夜間睡眠時高値
- TRH負荷試験:正常↑、プロラクチン産生下垂体腺腫→、機能性高プロラクチン血症↑、視床下部障害→(半数例)
- 抗ドーパミン剤,スルピリドやドンペリン:プロラクチン産生下垂体腺腫→、視床下部障害例→、機能性高プロラクチン血症↑、
- (微小下垂体腺腫例)TRH↑、スルピリド↑となる場合がある。
プロラクチン分泌低下症
診断基準
プロラクチン分泌過剰症
-
- a) 女性:月経不順・無月経、不妊、乳汁分泌、頭痛、視力視野障害
- b) 男性:性欲低下、陰萎、頭痛、視力視野障害、女性化乳房、乳汁分泌
- 血中PRL 基礎値の上昇:複数回、安静時に採血し免疫学的測定法で測定して、いずれも20ng/ml 以上を確認する。
- 確実例:(1)の1項目を満たし、かつ(2)を満たすもの。
参考
- http://www.nanbyou.or.jp/entry/319
- http://rhhd.info/about/prolactin
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- 疾患:illnessより厳密な概念。「ある臓器に明確な障害が確認され、それによって症状が出ているとはっきり説明できる場合」 (PSY.9)
- 特定の原因、病態生理、症状、経過、予後、病理組織所見が全てそろった場合 (PSY.9)
- something that is very wrong with people's attitudes, way of life or with society.
- 関
- ail、ailment、disease entity、disorder、ill、illness、malady、sick、sickness
- disease ≠ illness ≠ disorder
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- 関
- aberrant、aberrantly、aberration、abnormality、abnormally、anomalous、anomalously、anomaly、defect、deviant、deviation、extraordinarily、extraordinary、unusual、unusually
[★]
- 関
- bodily secretion、discharge、secrete、secreted material
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プロラクチン
- 同
- PRL
- 同
- PRL
- 同
- PRL