Title BOLESTI NADBUBREŽNE ŽLIJEZDE U DJECE I ADOLESCENATA
Title (english) ADRENAL GLAND DISORDERS IN CHILDREN AND ADOLESCENTS
Author Zvonimir Vukojević
Mentor Srećko Severinski (mentor)
Committee member Ana Milardović (predsjednik povjerenstva)
Committee member Harry Nikolić (član povjerenstva)
Committee member Goran Palčevski (član povjerenstva)
Granter University of Rijeka Faculty of Medicine (Department of Pediatrics) Rijeka
Defense date and country 2021-07-16, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Pediatrics
Abstract Nadbubrežna žlijezda je parna endokrina žlijezda koja se nalazi iznad lijevog i desnog
bubrega. Građena je od kore i od srži. U kori se stvaraju glukokortikoidi, mineralokortikoidi te
andogeni, a u srži kateholamini.
Bolesti kore nadbubrežne žlijezde dijele se na hipoadrenokorticizam i hiperadrenokorticizam.
Hipoadrenokorticizam se očituje smanjenom sekrecijom bilo kojeg hormona iz adrenalne
kore. Najznačajniji poremećaji kod kojih dolazi do hipoadrenokorticizma su kongenitalna
adrenalna hipoplazija/aplazija, KAH, hemoragija nadbubrežne žlijezde, Adisonova
bolest, hipofunkcija kao posljedica infekcije ili neinfektivnih uzroka kao što su
tumori. Hiperadrenokorticizam je karakteriziran pojačanom sekrecijom bilo kojeg hormona
kore nadbubrežne žlijezde te se dijeli na hiperkortizolizam,hiperaldosteronizam,virilizirajuće
adrenalne tumore te feminizirajuće adrenalne tumore. Klinička slika ovisi o tome koji hormon
je u suvišku ili manjku. Dijagnoza se bazira na određivanju koncentracije hormona u plazmi te
njihovih metabolita u urinu. Ukoliko se radi o nekom tumoru potrebna je i slikovna dijagnostika
kao što je UZV,CT ili MR. Kod hipoadrenokorticizma terapija su supstitucijski glukokortikoidi
i po potrebi mineralokortikoidi i androgeni. Ukoliko je uzrok nefunkcionalni tumor terapija je
kirurška. Kod hiperadrenokorticizma liječi se uzrok.
Najčešći poremećaji koji zahvaćaju srž nadbubrežne žlijezde u dječjoj dobi su tumori. To su
feokromocitom i neuroblastom. Očituju se različitim simptomima ovisno o tome koja im je
veličina i lokalizacija, budući da se mogu javiti i bilo gdje u tijelu gdje postoji takvo
tkivo. Zajedničko im je to što dolazi do pojačane sekrecije kateholamina. Dijagnoza im se bazira
na određivanju koncentracije hormona u plazmi i njihovih metabolita u urinu. Vrlo je važna i
slikovna dijagnostika kao što je CT ili MR. Terapija je najčešće kirurška.
Abstract (english) The adrenal gland is even enocrine gland that is located above left and right kidney.It is made
of two parts,the cortex and the medulla.The cortex secretes glucocorticoids, mineralocorticoids
and adrenal androgens.The medulla secretes catecholamines.
Adrenal gland disorders are divided in hypoadrenocorticism and hyperadrenocorticism.
Hypoadrenocotricism is characterized with decreased secretion of any hormone from adrenal
cortex.The most important disorders in which hypoadrenocorticism is presented are congenital
adrenal hypoplasia/aplasia,congenital adrenal hyperplasia,adrenal hemorrhage, hypofunction
caused by infection,Addison's disease and noninfectious disorders and adrenal
tumors.Hyperadrenocorticism is characterized with increased secretion of any hormone from
adrenal cortex and it is divided in hypercotrisolism,hyperaldosteronism,virilized adrenal tumors
and feminizing adrenal tumors.Clinical manifestation depends on which hormone is increased
or decreased.Diagnosis is based on dereminizing hormone concentration in plasma ot its
metabolites in urine.Imaging diagnostics(US,CT or MRI) is very important for diagnosing
disorders caused by tumor.Therapy of hypoadrenocorticism includes synthetic glucocorticoids
and if needed mineralocorticoids and androgens.In disorders caused by nonfunctional tumor,
therapy is surgical.Therapy of hyperadrenocorticism includes resolving the cause of it.
The most common disorders occuring in adrenal medulla in children are tumors.The most
important are pheochromocytoma and neuroblastoma.Clinical manifestation is characterized
with different symptoms depending on size and localization of tumor.In pheochromocytoma
and neuroblastoma the secretion of catecholamines is increased.Diagnosis is based on
determinizing hormone concentration in plasma and its metabolites in urine.Imaging
diagnostics(CT or MRI) is very impotrant.Therapy is surgical.
Keywords
hiperadrenokorticizam
hipoadrenokorticizam
feokromocitom
Keywords (english)
hypoadrenocorticism
hyperadrenocorticism
pheochromocytoma
Language croatian
URN:NBN urn:nbn:hr:184:331281
Study programme Title: Medicine Study programme type: university Study level: integrated undergraduate and graduate Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resource Text
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Access conditions Open access Embargo expiration date: 2021-07-16
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Created on 2021-07-11 16:30:25