雄激素部分缺乏误诊为中老年抑郁和痴呆1例  

Partial Androgen Deficiency in the Aging Male Apt to Be Misdiagnosed as Depression and Dementia: a Typical Case Report

作　　者：李洪涛[1] 曹天忠 李宏军[3] 

机构地区：[1]辽宁省第三人民医院精神科 [2]丹东市第三医院精神科,辽宁丹东118000 [3]北京协和医院泌尿外科,北京100730

出　　处：《中华男科学杂志》2005年第6期468-469,共2页National Journal of Andrology

摘　　要：中老年男性出现一系列雄激素部分缺乏的临床症状特别容易与抑郁和痴呆相互混淆,并因此而造成误诊误治。本文报道了1例中老年男性雄激素部分缺乏综合征(PADAM)患者反复被误诊为老年抑郁和痴呆,值得引起临床关注。造成误诊误治的原因主要包括对PADAM的含义不了解、临床症状缺乏特异性、没有进行必要的专科检查和激素水平分析等。A series of clinical symptoms associated with partial androgen deficiency in middle-aged and old males are apt to be confused with those of depression and dementia, and therefore result in misdiagnosis and mistreatment. This article reports a case of partial androgen deficiency in the aging male (PADAM) repeatedly misdiagnosed as depression and dementia, which demands sufficient clinical attention. The main reasons for the misdiagnosis and mistreatment lie in unfamiliarity with PADAM, lack of specific symptoms of the condition, omission of special examinations and hormone level analysis.

关 键 词：中老年男性雄激素部分缺乏 抑郁 痴呆 男性更年期综合征 

分 类 号：R588[医药卫生—内分泌]