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dc.contributor.authorPasiechko, Nadiya-
dc.contributor.authorNaumova, Lyudmyla-
dc.contributor.authorPankiv, Ivan-
dc.contributor.authorKrytskyy, Taras-
dc.contributor.authorKhomits, Alla-
dc.date.accessioned2020-10-30T10:18:05Z-
dc.date.available2020-10-30T10:18:05Z-
dc.date.issued2019-
dc.identifier.urihttp://dspace.bsmu.edu.ua:8080/xmlui/handle/123456789/16218-
dc.description.abstractPresentation of case: patient 36 years old, appealed to complaints about changing the color of the skin, reducing body weight by 10 kg in 2 months, expressed general weakness, lowering blood pressure, reducing sexual desire. Discussion: prescribed treatment: insulin therapy (aspart, degludec) day dose 42 OD, levothyroxine 100 mcgr/day, vitamin E, selenium 100 mcgr, chorionic gonadotrophin 1500 OD intramuscularly once per week, monthly courses with the same break. After the therapy, the patient’s condition improved. Repeatedly the patient appeared on the review 6 months after treatment. Hyperpigmentation of the skin and natural areas of pigmentation are reduced, there is a stabilization of blood pressure at a level of 120 / 70-110 / 70 mm Hg, reduction of clinical symptoms, achieved target level of glycemia and hormonal blood parameters the target glycemia level was reached (4.6-5.1 mmol / L), glycosylated hemoglobin (8.1%) and hormonal blood parameters (TTG 3.4 mmol / L) cortisol serum 1.7 μg / dl (norm 6.2-19.4 μg / dl), testosterone free 3.4 pg / ml (N 1.7-8.2), total testosterone - 12.28 (N 8.64 - 29 nmol / l), sex steroid binding globulin (CHD) (67 nmol / l, at the rate of 13-71 nmol / l, ), testosterone free 8.9 pg / ml (N 8.8 - 42.5 pg / ml). Conclusions: Decomposition of adrenal insufficiency (decrease in glucocorticoids as contrinsular hormone) can lead to untypical cours of diabetes with steaolyhipoglicemia in autumne-summer period and normalizabionglycemia glycemia in winter-autumne period. Presents of 2-3 decompensate, endocrine diseases in the same moment suppresses pronounced typical symptomatics each of them precedes with erased or disguised picture.uk_UA
dc.language.isoenuk_UA
dc.publisherBangladesh Journal of Medical Science Vol. 18 No. 03 July’19. Р. 646-650.uk_UA
dc.subjectCarpenter syndromeuk_UA
dc.subjectautoimmune poluglandular syndromeuk_UA
dc.subjectdiabetes mellitus type 1uk_UA
dc.subjectprimary hypogonadismuk_UA
dc.subjectсиндром Карпентераuk_UA
dc.subjectаутоімунний полігландулярний синдромuk_UA
dc.subjectцукровий діабет типу 1uk_UA
dc.subjectпервинний гіпогонадизмuk_UA
dc.subjectаутоиммунный полигландулярный синдромuk_UA
dc.subjectсахарный диабет типа 1uk_UA
dc.subjectпервичный гипогонадизмuk_UA
dc.titleClinical case of Carpenter syndrome (autoimmune-polygundularsyndrome 2) in the practice of an endocrinologistuk_UA
dc.typeArticleuk_UA
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