questionsmedicales.fr
Système endocrine
Système endocrine : Questions médicales fréquentes
Termes MeSH sélectionnés :
Diagnostic
5
Déséquilibre hormonal
Tests hormonaux
Maladies endocriniennes
IRM
Fonction thyroïdienne
TSH
Symptômes
5
Syndrome de Cushing
Hypertension
Déséquilibre hormonal
Règles irrégulières
Hypoparathyroïdisme
Tétanie
Diabète de type 1
Symptômes
Prévention
5
Diabète de type 2
Prévention
Maladies endocriniennes
Mode de vie sain
Syndrome des ovaires polykystiques
Poids santé
Traitements
5
Hypothyroïdie
Thérapie de remplacement
Diabète de type 2
Médicaments oraux
Syndrome des ovaires polykystiques
Contraceptifs oraux
Hyperparathyroïdie
Chirurgie
Syndrome de Cushing
Radiothérapie
Complications
5
Hyperthyroïdie
Complications
Diabète
Maladies cardiovasculaires
Syndrome de Cushing
Hypertension
Hypoparathyroïdisme
Convulsions
Maladies endocriniennes
Troubles métaboliques
Facteurs de risque
5
Diabète de type 2
Obésité
Hyperthyroïdie
Antécédents familiaux
Syndrome des ovaires polykystiques
Résistance à l'insuline
Hypoparathyroïdisme
Chirurgie thyroïdienne
Syndrome de Cushing
Corticostéroïdes
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"description": "Comment diagnostiquer un déséquilibre hormonal ?\nQuels examens pour les maladies endocriniennes ?\nQuels symptômes nécessitent un bilan hormonal ?\nComment évaluer la fonction thyroïdienne ?\nQuelles analyses pour le diabète ?",
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"@type": "Question",
"name": "Comment diagnostiquer un déséquilibre hormonal ?",
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"text": "Des tests sanguins mesurant les niveaux hormonaux sont effectués."
}
},
{
"@type": "Question",
"name": "Quels examens pour les maladies endocriniennes ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'échographie, l'IRM et les tests de stimulation hormonale sont utilisés."
}
},
{
"@type": "Question",
"name": "Quels symptômes nécessitent un bilan hormonal ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Fatigue, prise de poids inexpliquée, ou changements d'humeur peuvent indiquer un bilan."
}
},
{
"@type": "Question",
"name": "Comment évaluer la fonction thyroïdienne ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des tests de TSH, T3 et T4 sont réalisés pour évaluer la fonction thyroïdienne."
}
},
{
"@type": "Question",
"name": "Quelles analyses pour le diabète ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "La glycémie à jeun et l'HbA1c sont des analyses clés pour diagnostiquer le diabète."
}
},
{
"@type": "Question",
"name": "Quels sont les symptômes d'une hyperthyroïdie ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Perte de poids, nervosité, palpitations et transpiration excessive sont fréquents."
}
},
{
"@type": "Question",
"name": "Comment reconnaître un syndrome de Cushing ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Obésité centrale, vergetures et hypertension artérielle sont des signes typiques."
}
},
{
"@type": "Question",
"name": "Quels signes d'un déséquilibre hormonal chez les femmes ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Règles irrégulières, acné et changements d'humeur peuvent indiquer un déséquilibre."
}
},
{
"@type": "Question",
"name": "Quels symptômes d'un hypoparathyroïdisme ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Tétanie, engourdissements et crampes musculaires sont des symptômes courants."
}
},
{
"@type": "Question",
"name": "Quels signes d'un diabète de type 1 ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Soif excessive, urination fréquente et fatigue sont des symptômes à surveiller."
}
},
{
"@type": "Question",
"name": "Comment prévenir le diabète de type 2 ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Maintenir un poids santé, faire de l'exercice et avoir une alimentation équilibrée aide."
}
},
{
"@type": "Question",
"name": "Quelles mesures pour éviter l'hypothyroïdie ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une alimentation riche en iode et un suivi médical régulier peuvent aider."
}
},
{
"@type": "Question",
"name": "Comment réduire le risque de maladies endocriniennes ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un mode de vie sain, incluant une bonne nutrition et de l'exercice, est essentiel."
}
},
{
"@type": "Question",
"name": "Quelles habitudes pour prévenir le syndrome des ovaires polykystiques ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Maintenir un poids santé et gérer le stress peuvent réduire les risques."
}
},
{
"@type": "Question",
"name": "Comment éviter les complications du diabète ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Contrôler la glycémie et faire des examens réguliers sont cruciaux."
}
},
{
"@type": "Question",
"name": "Comment traiter l'hypothyroïdie ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le traitement principal est la thérapie de remplacement hormonal avec la lévothyroxine."
}
},
{
"@type": "Question",
"name": "Quelles options pour le diabète de type 2 ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les médicaments oraux, l'insuline et les changements de mode de vie sont recommandés."
}
},
{
"@type": "Question",
"name": "Comment gérer le syndrome des ovaires polykystiques ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des contraceptifs oraux et des médicaments pour la résistance à l'insuline sont utilisés."
}
},
{
"@type": "Question",
"name": "Quel traitement pour l'hyperparathyroïdie ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "La chirurgie est souvent nécessaire pour retirer la glande parathyroïdienne affectée."
}
},
{
"@type": "Question",
"name": "Comment traiter le syndrome de Cushing ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le traitement peut inclure la chirurgie, la radiothérapie ou des médicaments spécifiques."
}
},
{
"@type": "Question",
"name": "Quelles complications de l'hyperthyroïdie ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent des problèmes cardiaques et l'ostéoporose."
}
},
{
"@type": "Question",
"name": "Quels risques liés au diabète mal contrôlé ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications peuvent inclure des maladies cardiovasculaires et des neuropathies."
}
},
{
"@type": "Question",
"name": "Quelles complications du syndrome de Cushing ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Hypertension, diabète et infections fréquentes sont des complications possibles."
}
},
{
"@type": "Question",
"name": "Quels effets d'un hypoparathyroïdisme non traité ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des complications graves comme des convulsions et des problèmes cardiaques peuvent survenir."
}
},
{
"@type": "Question",
"name": "Quelles complications des maladies endocriniennes ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les maladies endocriniennes peuvent entraîner des troubles métaboliques et cardiovasculaires."
}
},
{
"@type": "Question",
"name": "Quels facteurs de risque pour le diabète de type 2 ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Obésité, sédentarité et antécédents familiaux augmentent le risque."
}
},
{
"@type": "Question",
"name": "Quels facteurs influencent l'hyperthyroïdie ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'âge, le sexe féminin et des antécédents familiaux sont des facteurs de risque."
}
},
{
"@type": "Question",
"name": "Quels risques liés au syndrome des ovaires polykystiques ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'obésité et la résistance à l'insuline sont des facteurs de risque majeurs."
}
},
{
"@type": "Question",
"name": "Quels facteurs de risque pour l'hypoparathyroïdisme ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les antécédents de chirurgie thyroïdienne et des maladies auto-immunes augmentent le risque."
}
},
{
"@type": "Question",
"name": "Quels facteurs de risque pour le syndrome de Cushing ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'utilisation prolongée de corticostéroïdes et certaines tumeurs peuvent être des facteurs."
}
}
]
}
]
}
Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale
Validation scientifique effectuée le 23/06/2026
Contenu vérifié selon les dernières recommandations médicales
3 publications dans cette catégorie
Affiliations :
Laboratory of Clinical and Experimental Endocrinology, Department of Chronic Diseases, Metabolism and Ageing KU Leuven Leuven Belgium.
Publications dans "Système endocrine" :
2 publications dans cette catégorie
Affiliations :
Department of Endocrinology, Diabetology and Clinical Nutrition, University Hospital Zurich (USZ) and University of Zurich (UZH), 8091 Zurich, Switzerland.
Endocrine Research Unit, Medizinische Klinik und Poliklinik IV, Klinikum der Universität München, 80336 Munich, Germany.
Publications dans "Système endocrine" :
2 publications dans cette catégorie
Affiliations :
Endocrinology Section, Medical Service, VA Hospital, Hines, Illinois, USA.
Publications dans "Système endocrine" :
2 publications dans cette catégorie
Affiliations :
Department of Medicine, Division of Endocrinology, Loyola University Health Care System, Maywood, Illinois, USA.
Publications dans "Système endocrine" :
2 publications dans cette catégorie
Affiliations :
Department of Medicine, Division of Endocrinology, Loyola University Health Care System, Maywood, Illinois, USA. memanue@lumc.edu.
Publications dans "Système endocrine" :
2 publications dans cette catégorie
Affiliations :
Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Hospital Universitario Reina Sofía, 14004 Córdoba, Spain.
Centro de Investigación Biomédica en Red de Fragilidad y Envejecimiento Saludable (CIBERFES), Instituto de Salud Carlos III, 28029 Madrid, Spain.
Publications dans "Système endocrine" :
2 publications dans cette catégorie
Affiliations :
Geriatric Medicine Center, Key Laboratory of Endocrine Gland Diseases of Zhejiang Province, Department of Endocrinology, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, China.
Publications dans "Système endocrine" :
2 publications dans cette catégorie
Affiliations :
Interdisciplinary Department of Medicine, Section of Internal Medicine, Geriatrics, Endocrinology and Rare Diseases, School of Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy.
Publications dans "Système endocrine" :
2 publications dans cette catégorie
Affiliations :
Interdisciplinary Department of Medicine, Section of Internal Medicine, Geriatrics, Endocrinology and Rare Diseases, School of Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy.
Publications dans "Système endocrine" :
2 publications dans cette catégorie
Affiliations :
Interdisciplinary Department of Medicine, Section of Internal Medicine, Geriatrics, Endocrinology and Rare Diseases, School of Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy.
Publications dans "Système endocrine" :
2 publications dans cette catégorie
Affiliations :
Department of Biomedical Sciences and Human Oncology, Section of Internal Medicine and Clinical Oncology, University of Bari Aldo Moro, 70124 Bari, Italy.
National Institute of Gastroenterology "Saverio de Bellis", Research Hospital, 70013 Castellana Grotte, Italy.
Publications dans "Système endocrine" :
2 publications dans cette catégorie
Affiliations :
Interdisciplinary Department of Medicine, Section of Internal Medicine, Geriatrics, Endocrinology and Rare Diseases, School of Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy.
Publications dans "Système endocrine" :
2 publications dans cette catégorie
Affiliations :
Department of Biotechnology, College of Biotechnology and Bioengineering, Zhejiang University of Technology, Hangzhou, 310014, China.
Publications dans "Système endocrine" :
2 publications dans cette catégorie
Affiliations :
Department of Biotechnology, College of Biotechnology and Bioengineering, Zhejiang University of Technology, Hangzhou, 310014, China. Electronic address: jinyx@zjut.edu.cn.
Publications dans "Système endocrine" :
2 publications dans cette catégorie
Affiliations :
Servicio de Endocrinología y Nutrición, Hospital General Universitario Gregorio Marañón, Madrid, España. Electronic address: diego.munozm93@gmail.com.
Publications dans "Système endocrine" :
2 publications dans cette catégorie
Affiliations :
Servicio de Endocrinología y Nutrición, Hospital General Universitario Gregorio Marañón, Madrid, España.
Publications dans "Système endocrine" :
2 publications dans cette catégorie
Affiliations :
Servicio de Endocrinología y Nutrición, Hospital General Universitario Gregorio Marañón, Madrid, España.
Publications dans "Système endocrine" :
2 publications dans cette catégorie
Affiliations :
Servicio de Endocrinología y Nutrición, Hospital General Universitario Gregorio Marañón, Madrid, España.
Publications dans "Système endocrine" :
2 publications dans cette catégorie
Affiliations :
Division of Pharmacology and Toxicology, College of Pharmacy, The University of Texas at Austin, Austin, Texas, USA.
Publications dans "Système endocrine" :
2 publications dans cette catégorie
Affiliations :
Division of Pharmacology and Toxicology, College of Pharmacy, The University of Texas at Austin, Austin, Texas, USA.
Department of Psychology, The University of Texas at Austin, Austin, Texas, USA.
Institute for Neuroscience, The University of Texas at Austin, Austin, Texas, USA.
Publications dans "Système endocrine" :
Lumbar puncture is a common invasive procedure performed in newborns for diagnostic and therapeutic purposes. Approximately one in two lumbar punctures fail, resulting in both short- and long-term neg...
To assess the benefits and harms of the lateral decubitus, sitting, and prone positions for lumbar puncture in newborn infants....
We used standard, extensive Cochrane search methods. The latest search date was 24 January 2023....
We included randomized controlled trials (RCTs) and quasi-RCTs involving newborn infants of postmenstrual age up to 46 weeks and 0 days, undergoing lumbar puncture for any indication, comparing differ...
We used standard Cochrane methods. We used the fixed-effect model with risk ratio (RR) and risk difference (RD) for dichotomous data and mean difference (MD) and standardized mean difference (SMD) for...
We included five studies with 1476 participants. Compared to sitting position: lateral decubitus position may result in little to no difference in successful lumbar puncture procedure at the first att...
When compared to sitting position, lateral decubitus position may result in little to no difference in successful lumbar puncture procedure at first attempt. None of the included studies reported the ...
When a baby is born, the first bonds of attachment are slowly formed. Primary care, such as feeding, changing, carrying, rocking or putting the child to sleep, is very important for the development of...
Perinatal stroke refers to a diverse but specific group of cerebrovascular diseases that occur between 20 weeks of fetal life and 28 days of postnatal life. Acute treatment options for perinatal strok...
To evaluate the benefits and harms of stem cell-based interventions for the treatment of stroke in newborn infants compared to control (placebo or no treatment) or stem-cell based interventions of a d...
We searched CENTRAL, PubMed, Embase, and three trials registries in February 2023. We planned to search the reference lists of included studies and relevant systematic reviews for studies not identifi...
We attempted to include randomized controlled trials, quasi-randomized controlled trials, and cluster trials that evaluated any of the following comparisons. • Stem cell-based interventions (any type)...
We used standard Cochrane methods. Our primary outcomes were all-cause neonatal mortality, major neurodevelopmental disability, and immune rejection or any serious adverse event. Our secondary outcome...
We identified no completed or ongoing randomized trials that met our inclusion criteria. We excluded three studies: two were phase 1 trials, and one included newborn infants with conditions other than...
No evidence is currently available to evaluate the benefits and harms of stem cell-based interventions for treatment of stroke in newborn infants. We identified no ongoing studies. Future clinical tri...
Dexmedetomidine is a selective alpha-2 agonist with minimal impact on the haemodynamic profile. It is thought to be safer than morphine or stronger opioids, which are drugs currently used for analgesi...
To determine the overall effectiveness and safety of dexmedetomidine for sedation and analgesia in newborn infants receiving mechanical ventilation compared with other non-opioids, opioids, or placebo...
We searched CENTRAL, MEDLINE, Embase, CINAHL, and two trial registries in September 2023....
We planned to include randomised controlled trials (RCTs) and quasi-RCTs evaluating the effectiveness of dexmedetomidine compared with other non-opioids, opioids, or placebo for sedation and analgesia...
We used standard Cochrane methods. Our primary outcomes were level of sedation and level of analgesia. Our secondary outcomes included days on mechanical ventilation, number of infants requiring addit...
We identified no eligible studies for inclusion. We identified four ongoing studies, two of which appear to be eligible for inclusion; they will compare dexmedetomidine with fentanyl in newborn infant...
Despite the increasing use of dexmedetomidine, there is insufficient evidence supporting its routine use for analgesia and sedation in newborn infants on mechanical ventilation. Furthermore, data on d...
Respiratory distress occurs in up to 7% of newborns, with respiratory support (RS) provided invasively via an endotracheal (ET) tube or non-invasively via a nasal interface. Invasive ventilation incre...
To evaluate the benefits and harms of nasal high-frequency ventilation (nHFV) compared to invasive ventilation via an ET tube or other non-invasive ventilation methods on morbidity and mortality in pr...
We searched CENTRAL, MEDLINE, Embase, CINAHL and three trial registries in April 2023....
Randomised controlled trials (RCTs), cluster- or quasi-RCTs of nHFV in newborn infants with respiratory distress compared to invasive or non-invasive ventilation....
Two authors independently selected the trials for inclusion, extracted data, assessed the risk of bias, and undertook GRADE assessment....
We identified 33 studies, mostly in low- to middle-income settings, that investigated this therapy in 5068 preterm and 46 term infants. nHFV compared to invasive respiratory therapy for initial RS We ...
For initial RS, we are very uncertain if using nHFV compared to invasive respiratory therapy affects clinical outcomes. However, nHFV may reduce intubation when compared to nCPAP. For planned extubati...
Hypoxic-ischemic encephalopathy is the most common cause of neonatal seizures. Continuous electroencephalographic monitoring is recommended given high rates of subclinical seizures. Prompt diagnosis a...
Congenital saccular cyst of the larynx is a rare cause of presentation of stridor and respiratory distress in newborns. The clinical presentation of a saccular laryngeal cyst often overlaps with other...
A child born in developing countries has a 10 times higher mortality risk compared to one born in developed countries. Uganda still struggles with a high neonatal mortality rate at 27/1000 live births...
Biliary atresia (BA) is a rare progressive neonatal cholangiopathy with unknown pathophysiology and time of onset. Newborn Screening (NBS) in Germany is routinely performed in the first days of life t...
We aimed to analyze amino acid profiles in NBS-DBS of infants with Biliary Atresia....
Original NBS-DBS cards of 41 infants who were later on diagnosed with BA were retrospectively obtained. NBS-DBS cards from healthy newborns (n = 40) served as controls. In some BA infants (n = 14) a s...
DBS metabolomics in the NBS of at that time point seemingly healthy infants later diagnosed with BA revealed significantly higher levels of Methionine (14.6 ± 8.6 μmol/l), Histidine (23.5 ± 50.3 μmol/...
Our data demonstrate that BA patients exhibit an altered AAP within 72 h after birth, long before the infants become symptomatic. This supports the theory of a prenatal onset of the disease and, thus,...
Lumbar puncture (LP) is a common invasive procedure, most frequently performed to diagnose infection. Physicians perform LP in newborn infants with the help of an assistant using a strict aseptic tech...
To assess the benefits and harms, including pain, discomfort, and success rate, of any pharmacological intervention during lumbar puncture in newborn infants, compared to placebo, no intervention, non...
We searched CENTRAL, PubMed, Embase, and three trial registries in December 2022. We also screened the reference lists of included studies and related systematic reviews for studies not identified by ...
We included randomized controlled trials (RCTs) and quasi-RCTs comparing drugs used for pain management, sedation, or both, during LP. We considered the following drugs suitable for inclusion. • Topic...
We included three studies (two RCTs and one quasi-RCT) that enrolled 206 newborns. One study included only term infants. All studies assessed topical treatment versus placebo or no intervention. The t...
The evidence is very uncertain about the effect of topical anesthetics (lidocaine) compared to no anesthesia on successful lumbar puncture on first attempt, the number of attempts per lumbar puncture,...