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1959—1980年我院收治皮质醇增多症20例,全部经手术证实。现报道如下。资料分析一般情况年龄最小14岁,最大46岁。以20—29、40—49岁较多,各占35%。女19例,男1例。职业以农民占半数。病程最短2月,最长5年余。其中2例腺癌,病程为2年和3.5年。临床表现1.症状:乏困无力者18例;有头痛、腰痛、下肢痛、全身痛者12例。2.体态:20例皆有满月脸及多血质;16例呈向心性肥胖。3.皮肤征象:15例有紫纹;有多毛者15例;有痤疮者11例;头发脱落者11例。
From 1959 to 1980, 20 cases of cortisol hyperplasia were treated in our hospital, all confirmed by surgery. The report is as follows. Data analysis is generally the youngest 14 years old and the oldest 46 years old. To 20-29, 40-49 years old, each accounting for 35%. There were 19 females and 1 male. Professionals account for half of the farmers. The shortest course of illness is 2 months and the longest is 5 years. Two of them had adenocarcinoma and the duration of the disease was 2 years and 3.5 years. Clinical manifestations 1. Symptoms: 18 cases of sleeplessness and weakness; 12 cases of headache, low back pain, lower limb pain, and generalized pain. 2. Body: 20 cases had full moon face and multiple bleeds; 16 cases showed concentric obesity. 3. Skin signs: 15 cases had purple lines; 15 cases had hairiness; 11 cases had acne; 11 cases had hair loss.