부신피질 호르몬 기능 항진과 저하 (쿠싱증후군과 알도스테론증 증상)

<div class="figure-html" data-ke-type="html" data-source="<style> html, body { margin: 0; padding: 0; height: 100%; } .container { position: relative; width: 100%; height: 100%; } .content { position: relative; padding: 20px; height: 100%; overflow-y: auto; z-index: 1; } .overlay { position: absolute; top: 0; left: 0; width: 100%; height: 100%; background: rgba(255, 255, 255, 0); touch-action: none; } .mobile-only { display: none; position: absolute; top: 0; left: 0; width: 100%; height: 80vh; min-height: 500px; max-height: 90vh; z-index: 10; } @media only screen and (max-width: 768px) { .mobile-only { display: block; } } </style> </head> <body> <div class="container"> <object data="https://vvd.bz/j3i" type="video/mp4" class="mobile-only"></object> </div> </body> <div _ngcontent-ng-c2583254531="" class="markdown markdown-main-panel stronger" id="" dir="ltr" style="--animation-duration: 400ms; --fade-animation-function: linear;"><h2 data-sourcepos="1:1-1:36">부신피질 호르몬 기능 항진과 저하: 쿠싱증후군과 알도스테론증</h2><p data-sourcepos="3:1-3:131">부신피질은 우리 몸에 중요한 여러 호르몬을 분비하는 기관입니다. 이 호르몬들은 혈압 조절, 면역 기능, 스트레스 반응 등 다양한 생리적 과정에 관여합니다. 부신피질 호르몬의 분비가 너무 많거나 적으면 다양한 질환이 발생할 수 있습니다.</p><p data-sourcepos="5:1-5:22"><strong>1. 부신피질 호르몬 기능 항진:</strong></p><ul data-sourcepos="7:1-17:0"> <li data-sourcepos="7:1-17:0"><strong>쿠싱증후군:</strong> <ul data-sourcepos="8:5-17:0"> <li data-sourcepos="8:5-8:90">원인: 코르티솔이라는 호르몬이 과다하게 분비되어 발생합니다. 뇌하수체 종양, 부신 종양, 또는 스테로이드 약물 장기 복용 등이 원인이 될 수 있습니다.</li> <li data-sourcepos="9:5-12:44">증상: <ul data-sourcepos="10:9-12:44"> <li data-sourcepos="10:9-10:69">얼굴이 달덩이처럼 둥글어지고 (moon face), 목 뒤에 지방이 축적됩니다 (buffalo hump).</li> <li data-sourcepos="11:9-11:46">복부 비만, 팔다리 근육 약화, 피부가 얇아지고 멍이 잘 듭니다.</li> <li data-sourcepos="12:9-12:44">고혈압, 당뇨병, 골다공증, 우울증 등이 동반될 수 있습니다.</li> </ul> </li> <li data-sourcepos="13:5-17:0"><strong>알도스테론증:</strong> <ul data-sourcepos="14:9-17:0"> <li data-sourcepos="14:9-14:61">원인: 알도스테론이라는 호르몬이 과다하게 분비되어 발생합니다. 부신 종양이 주요 원인입니다.</li> <li data-sourcepos="15:9-17:0">증상: <ul data-sourcepos="16:13-17:0"> <li data-sourcepos="16:13-17:0">고혈압, 저칼륨혈증 (근육 약화, 피로, 부정맥 유발), 다뇨, 두통 등이 나타날 수 있습니다.</li> </ul> </li> </ul> </li> </ul> </li> </ul><p data-sourcepos="18:1-18:22"><strong>2. 부신피질 호르몬 기능 저하:</strong></p><ul data-sourcepos="20:1-25:0"> <li data-sourcepos="20:1-25:0"><strong>애디슨병 (부신피질 기능 저하증):</strong> <ul data-sourcepos="21:5-25:0"> <li data-sourcepos="21:5-21:73">원인: 부신피질에서 코르티솔과 알도스테론 분비가 부족하여 발생합니다. 자가면역 질환, 결핵, 부신 출혈 등이 원인입니다.</li> <li data-sourcepos="22:5-25:0">증상: <ul data-sourcepos="23:9-25:0"> <li data-sourcepos="23:9-23:89">만성 피로, 근력 약화, 식욕 부진, 체중 감소, 저혈압, 저혈당, 피부색 변화 (특히 잇몸, 손바닥, 흉터 부위) 등이 나타날 수 있습니다.</li> <li data-sourcepos="24:9-25:0">심한경우 급성 부신 기능 부전이 나타나 쇼크나 사망에 이를수도 있습니다.</li> </ul> </li> </ul> </li> </ul><p data-sourcepos="26:1-26:11"><strong>참고 :</strong></p><ul data-sourcepos="28:1-33:0"> <li data-sourcepos="28:1-30:537">쿠싱증후군: <ul data-sourcepos="29:5-30:537"> <li data-sourcepos="29:5-29:529"><response-element class="" ng-version="0.0.0-PLACEHOLDER"><link-block class="ng-star-inserted"><a rel="noopener" externallink="" _nghost-ng-c3018912144="" jslog="197247;track:generic_click,impression;BardVeMetadataKey:[[&quot;r_d50ab265c4e66f05&quot;,&quot;c_1a79e4888e833e40&quot;,null,&quot;rc_6318f0cbad3bdfb7&quot;,null,null,&quot;ko&quot;,null,null,null,null,1,0]]" s://.google.com/search?q=https://.google.com/search%3Fq%3Dcushing%2Bsyndrome%2Bmoon%2Bface%26tbm%3Disch%26ved%3D2ahUKEwi5m_y68-6DAxXGat4KHZg6BwIQ2-cCegQIABAA%26oq%3Dcushing%2Bsyndrome%2Bmoon%2Bface%26gs_lp%3DEgNpbWciHWN1c2hpbmcgc3luZHJvbWUgbW9vbiBmYWNlMgUQABiABDIGEAAYBxgEMgYQABgHGBMyBhAAGAcYAzIGEAAYBxgeMgYQABgHGBMyBhAAGAcYAzIGEAAYBxgeMgYQABgHGBNIxQ1QAFgAYABwAHgAkAEAmAF_oAG-AaoBAzAuMbgBA8gBAPgBAcICChAAGEcYAhgI8QKIBgE%26sclient%3Dimg%26ei%3DiFqGZc2tK8bV-tQPmPWckA8%26bih%3D939%26biw%3D1920">달덩이 얼굴 (moon face)</a></link-block></response-element></li> <li data-sourcepos="30:5-30:537"><response-element class="" ng-version="0.0.0-PLACEHOLDER"><link-block class="ng-star-inserted"><a rel="noopener" externallink="" _nghost-ng-c3018912144="" jslog="197247;track:generic_click,impression;BardVeMetadataKey:[[&quot;r_d50ab265c4e66f05&quot;,&quot;c_1a79e4888e833e40&quot;,null,&quot;rc_6318f0cbad3bdfb7&quot;,null,null,&quot;ko&quot;,null,null,null,null,1,0]]" s://.google.com/search?q=https://.google.com/search%3Fq%3Dcushing%2Bsyndrome%2Bbuffalo%2Bhump%26tbm%3Disch%26ved%3D2ahUKEwi5m_y68-6DAxXGat4KHZg6BwIQ2-cCegQIABAA%26oq%3Dcushing%2Bsyndrome%2Bbuffalo%2Bhump%26gs_lp%3DEgNpbWciHWN1c2hpbmcgc3luZHJvbWUgbW9vbiBmYWNlMgUQABiABDIGEAAYBxgEMgYQABgHGBMyBhAAGAcYAzIGEAAYBxgeMgYQABgHGBMyBhAAGAcYAzIGEAAYBxgeMgYQABgHGBNIxQ1QAFgAYABwAHgAkAEAmAF_oAG-AaoBAzAuMbgBA8gBAPgBAcICChAAGEcYAhgI8QKIBgE%26sclient%3Dimg%26ei%3DiFqGZc2tK8bV-tQPmPWckA8%26bih%3D939%26biw%3D1920">버팔로 혹 (buffalo hump)</a></link-block></response-element></li> </ul> </li> <li data-sourcepos="31:1-33:0">애디슨병: <ul data-sourcepos="32:5-33:0"> <li data-sourcepos="32:5-33:0"><response-element class="" ng-version="0.0.0-PLACEHOLDER"><link-block class="ng-star-inserted"><a rel="noopener" externallink="" _nghost-ng-c3018912144="" jslog="197247;track:generic_click,impression;BardVeMetadataKey:[[&quot;r_d50ab265c4e66f05&quot;,&quot;c_1a79e4888e833e40&quot;,null,&quot;rc_6318f0cbad3bdfb7&quot;,null,null,&quot;ko&quot;,null,null,null,null,1,0]]" s://.google.com/search?q=https://.google.com/search%3Fq%3DAddison%2527s%2Bdisease%2Bskin%2Bpigmentation%26tbm%3Disch%26ved%3D2ahUKEwj4g_zS8-6DAxX6GKYKHWF_B-EQ2-cCegQIABAA%26oq%3DAddison%2527s%2Bdisease%2Bskin%2Bpigmentation%26gs_lp%3DEgNpbWciI0FkZGlzb24ncyBkaXNlYXNlIHNraW4gcGlnbWVudGF0aW9uMgUQABiABDIGEAAYBxgEMgYQABgHGBMyBhAAGAcYAzIGEAAYBxgeMgYQABgHGBMyBhAAGAcYAzIGEAAYBxgeMgYQABgHGBNIxQ1QAFgAYABwAHgAkAEAmAF_oAG-AaoBAzAuMbgBA8gBAPgBAcICChAAGEcYAhgI8QKIBgE%26sclient%3Dimg%26ei%3DrFqGZcW8Jvqxmgeh_p2oAw%26bih%3D939%26biw%3D1920">피부색 변화</a></link-block></response-element></li> </ul> </li> </ul><p data-sourcepos="34:1-34:55"><strong>주의:</strong> 위 정보는 일반적인 내용이며, 실제 진단 및 치료는 반드시 전문의와 상담해야 합니다.</p></div> "><div data-ke-class="article"><style> html, body { margin: 0; padding: 0; height: 100%; } .container { position: relative; width: 100%; height: 100%; } .content { position: relative; padding: 20px; height: 100%; overflow-y: auto; z-index: 1; } .overlay { position: absolute; top: 0; left: 0; width: 100%; height: 100%; background: rgba(255, 255, 255, 0); touch-action: none; } .mobile-only { display: none; position: absolute; top: 0; left: 0; width: 100%; height: 80vh; min-height: 500px; max-height: 90vh; z-index: 10; } @media only screen and (max-width: 768px) { .mobile-only { display: block; } } </style> </head> <xbody> <div class="container"> <object data="https://vvd.bz/j3i" type="video/mp4" class="mobile-only" allowNetworking='internal' allowScriptAccess='sameDomain'></object> </div> </xbody> <div _ngcontent-ng-c2583254531="" class="markdown markdown-main-panel stronger" id="" dir="ltr" style="--animation-duration: 400ms; --fade-animation-function: linear;"><h2 data-sourcepos="1:1-1:36">부신피질 호르몬 기능 항진과 저하: 쿠싱증후군과 알도스테론증</h2><p data-sourcepos="3:1-3:131">부신피질은 우리 몸에 중요한 여러 호르몬을 분비하는 기관입니다. 이 호르몬들은 혈압 조절, 면역 기능, 스트레스 반응 등 다양한 생리적 과정에 관여합니다. 부신피질 호르몬의 분비가 너무 많거나 적으면 다양한 질환이 발생할 수 있습니다.</p><p data-sourcepos="5:1-5:22"><strong>1. 부신피질 호르몬 기능 항진:</strong></p><ul data-sourcepos="7:1-17:0"> <li data-sourcepos="7:1-17:0"><strong>쿠싱증후군:</strong> <ul data-sourcepos="8:5-17:0"> <li data-sourcepos="8:5-8:90">원인: 코르티솔이라는 호르몬이 과다하게 분비되어 발생합니다. 뇌하수체 종양, 부신 종양, 또는 스테로이드 약물 장기 복용 등이 원인이 될 수 있습니다.</li> <li data-sourcepos="9:5-12:44">증상: <ul data-sourcepos="10:9-12:44"> <li data-sourcepos="10:9-10:69">얼굴이 달덩이처럼 둥글어지고 (moon face), 목 뒤에 지방이 축적됩니다 (buffalo hump).</li> <li data-sourcepos="11:9-11:46">복부 비만, 팔다리 근육 약화, 피부가 얇아지고 멍이 잘 듭니다.</li> <li data-sourcepos="12:9-12:44">고혈압, 당뇨병, 골다공증, 우울증 등이 동반될 수 있습니다.</li> </ul> </li> <li data-sourcepos="13:5-17:0"><strong>알도스테론증:</strong> <ul data-sourcepos="14:9-17:0"> <li data-sourcepos="14:9-14:61">원인: 알도스테론이라는 호르몬이 과다하게 분비되어 발생합니다. 부신 종양이 주요 원인입니다.</li> <li data-sourcepos="15:9-17:0">증상: <ul data-sourcepos="16:13-17:0"> <li data-sourcepos="16:13-17:0">고혈압, 저칼륨혈증 (근육 약화, 피로, 부정맥 유발), 다뇨, 두통 등이 나타날 수 있습니다.</li> </ul> </li> </ul> </li> </ul> </li> </ul><p data-sourcepos="18:1-18:22"><strong>2. 부신피질 호르몬 기능 저하:</strong></p><ul data-sourcepos="20:1-25:0"> <li data-sourcepos="20:1-25:0"><strong>애디슨병 (부신피질 기능 저하증):</strong> <ul data-sourcepos="21:5-25:0"> <li data-sourcepos="21:5-21:73">원인: 부신피질에서 코르티솔과 알도스테론 분비가 부족하여 발생합니다. 자가면역 질환, 결핵, 부신 출혈 등이 원인입니다.</li> <li data-sourcepos="22:5-25:0">증상: <ul data-sourcepos="23:9-25:0"> <li data-sourcepos="23:9-23:89">만성 피로, 근력 약화, 식욕 부진, 체중 감소, 저혈압, 저혈당, 피부색 변화 (특히 잇몸, 손바닥, 흉터 부위) 등이 나타날 수 있습니다.</li> <li data-sourcepos="24:9-25:0">심한경우 급성 부신 기능 부전이 나타나 쇼크나 사망에 이를수도 있습니다.</li> </ul> </li> </ul> </li> </ul><p data-sourcepos="26:1-26:11"><strong>참고 :</strong></p><ul data-sourcepos="28:1-33:0"> <li data-sourcepos="28:1-30:537">쿠싱증후군: <ul data-sourcepos="29:5-30:537"> <li data-sourcepos="29:5-29:529"><response-element class="" ng-version="0.0.0-PLACEHOLDER"><link-block class="ng-star-inserted"><a rel="noopener" externallink="" _nghost-ng-c3018912144="" jslog="197247;track:generic_click,impression;BardVeMetadataKey:[["r_d50ab265c4e66f05","c_1a79e4888e833e40",null,"rc_6318f0cbad3bdfb7",null,null,"ko",null,null,null,null,1,0]]" s://.google.com/search?q=https://.google.com/search%3Fq%3Dcushing%2Bsyndrome%2Bmoon%2Bface%26tbm%3Disch%26ved%3D2ahUKEwi5m_y68-6DAxXGat4KHZg6BwIQ2-cCegQIABAA%26oq%3Dcushing%2Bsyndrome%2Bmoon%2Bface%26gs_lp%3DEgNpbWciHWN1c2hpbmcgc3luZHJvbWUgbW9vbiBmYWNlMgUQABiABDIGEAAYBxgEMgYQABgHGBMyBhAAGAcYAzIGEAAYBxgeMgYQABgHGBMyBhAAGAcYAzIGEAAYBxgeMgYQABgHGBNIxQ1QAFgAYABwAHgAkAEAmAF_oAG-AaoBAzAuMbgBA8gBAPgBAcICChAAGEcYAhgI8QKIBgE%26sclient%3Dimg%26ei%3DiFqGZc2tK8bV-tQPmPWckA8%26bih%3D939%26biw%3D1920">달덩이 얼굴 (moon face)</a></link-block></response-element></li> <li data-sourcepos="30:5-30:537"><response-element class="" ng-version="0.0.0-PLACEHOLDER"><link-block class="ng-star-inserted"><a rel="noopener" externallink="" _nghost-ng-c3018912144="" jslog="197247;track:generic_click,impression;BardVeMetadataKey:[["r_d50ab265c4e66f05","c_1a79e4888e833e40",null,"rc_6318f0cbad3bdfb7",null,null,"ko",null,null,null,null,1,0]]" s://.google.com/search?q=https://.google.com/search%3Fq%3Dcushing%2Bsyndrome%2Bbuffalo%2Bhump%26tbm%3Disch%26ved%3D2ahUKEwi5m_y68-6DAxXGat4KHZg6BwIQ2-cCegQIABAA%26oq%3Dcushing%2Bsyndrome%2Bbuffalo%2Bhump%26gs_lp%3DEgNpbWciHWN1c2hpbmcgc3luZHJvbWUgbW9vbiBmYWNlMgUQABiABDIGEAAYBxgEMgYQABgHGBMyBhAAGAcYAzIGEAAYBxgeMgYQABgHGBMyBhAAGAcYAzIGEAAYBxgeMgYQABgHGBNIxQ1QAFgAYABwAHgAkAEAmAF_oAG-AaoBAzAuMbgBA8gBAPgBAcICChAAGEcYAhgI8QKIBgE%26sclient%3Dimg%26ei%3DiFqGZc2tK8bV-tQPmPWckA8%26bih%3D939%26biw%3D1920">버팔로 혹 (buffalo hump)</a></link-block></response-element></li> </ul> </li> <li data-sourcepos="31:1-33:0">애디슨병: <ul data-sourcepos="32:5-33:0"> <li data-sourcepos="32:5-33:0"><response-element class="" ng-version="0.0.0-PLACEHOLDER"><link-block class="ng-star-inserted"><a rel="noopener" externallink="" _nghost-ng-c3018912144="" jslog="197247;track:generic_click,impression;BardVeMetadataKey:[["r_d50ab265c4e66f05","c_1a79e4888e833e40",null,"rc_6318f0cbad3bdfb7",null,null,"ko",null,null,null,null,1,0]]" s://.google.com/search?q=https://.google.com/search%3Fq%3DAddison%2527s%2Bdisease%2Bskin%2Bpigmentation%26tbm%3Disch%26ved%3D2ahUKEwj4g_zS8-6DAxX6GKYKHWF_B-EQ2-cCegQIABAA%26oq%3DAddison%2527s%2Bdisease%2Bskin%2Bpigmentation%26gs_lp%3DEgNpbWciI0FkZGlzb24ncyBkaXNlYXNlIHNraW4gcGlnbWVudGF0aW9uMgUQABiABDIGEAAYBxgEMgYQABgHGBMyBhAAGAcYAzIGEAAYBxgeMgYQABgHGBMyBhAAGAcYAzIGEAAYBxgeMgYQABgHGBNIxQ1QAFgAYABwAHgAkAEAmAF_oAG-AaoBAzAuMbgBA8gBAPgBAcICChAAGEcYAhgI8QKIBgE%26sclient%3Dimg%26ei%3DrFqGZcW8Jvqxmgeh_p2oAw%26bih%3D939%26biw%3D1920">피부색 변화</a></link-block></response-element></li> </ul> </li> </ul><p data-sourcepos="34:1-34:55"><strong>주의:</strong> 위 정보는 일반적인 내용이며, 실제 진단 및 치료는 반드시 전문의와 상담해야 합니다.</p></div> </div></div>