{"id":51352,"date":"2019-08-28T04:35:52","date_gmt":"2019-08-28T09:35:52","guid":{"rendered":"https:\/\/www.erdheim-chester.org\/recursos-de-endocrinologia\/"},"modified":"2026-05-05T22:15:36","modified_gmt":"2026-05-06T03:15:36","slug":"recursos-de-endocrinologia","status":"publish","type":"page","link":"https:\/\/www.erdheim-chester.org\/pt-br\/recursos-de-endocrinologia\/","title":{"rendered":"Recursos de endocrinologia"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; background_image=&#8221;https:\/\/www.erdheim-chester.org\/wp-content\/uploads\/2024\/12\/Untitled-design-96-1.png&#8221; background_position=&#8221;bottom_center&#8221; background_vertical_offset=&#8221;20%&#8221; custom_padding=&#8221;0px||0px||true|false&#8221; background_last_edited=&#8221;on|desktop&#8221; background_position_tablet=&#8221;bottom_right&#8221; background_position_phone=&#8221;center_right&#8221; global_module=&#8221;28071&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_dmb_breadcrumbs _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; body_text_color=&#8221;#FFFFFF&#8221; body_font_size=&#8221;12px&#8221; link_text_color=&#8221;#35A4BB&#8221; custom_margin=&#8221;||5px||false|false&#8221; custom_padding=&#8221;||0px||false|false&#8221; body_font_size_tablet=&#8221;12px&#8221; body_font_size_phone=&#8221;10px&#8221; body_font_size_last_edited=&#8221;on|desktop&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_dmb_breadcrumbs][et_pb_heading title=&#8221;@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF90aXRsZSIsInNldHRpbmdzIjp7ImJlZm9yZSI6IiIsImFmdGVyIjoiIn19@&#8221; _builder_version=&#8221;4.27.4&#8243; _dynamic_attributes=&#8221;title&#8221; _module_preset=&#8221;default&#8221; title_font=&#8221;&#8211;et_global_heading_font|300|||||||&#8221; title_text_color=&#8221;#FFFFFF&#8221; title_font_size=&#8221;40px&#8221; custom_margin=&#8221;||3px|||&#8221; title_font_size_tablet=&#8221;&#8221; title_font_size_phone=&#8221;25px&#8221; title_font_size_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_heading][et_pb_button button_url=&#8221;https:\/\/www.erdheim-chester.org\/pt-br\/entre-em-contato-conosco\/&#8221; button_text=&#8221;Entre em contato conosco&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; custom_button=&#8221;on&#8221; button_text_size=&#8221;15px&#8221; button_text_color=&#8221;#C02E43&#8243; button_bg_color=&#8221;rgba(10,22,64,0.53)&#8221; button_border_width=&#8221;0px&#8221; button_icon=&#8221;&#xe60f;||divi||400&#8243; button_icon_color=&#8221;#C02E43&#8243; button_icon_placement=&#8221;left&#8221; button_on_hover=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; filter_opacity__hover_enabled=&#8221;on|hover&#8221; filter_opacity__hover=&#8221;70%&#8221;][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;section&#8221; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_row admin_label=&#8221;fila&#8221; _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text admin_label=&#8221;Text&#8221; _builder_version=&#8221;4.27.4&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>A Doen\u00e7a de Erdheim-Chester (ECD) \u00e9 um tipo ultrarraro de c\u00e2ncer do sangue, dif\u00edcil de diagnosticar, que pode se manifestar de diversas formas complexas. Como h\u00e1 ind\u00edcios de que a ECD \u00e9 subdiagnosticada, \u00e9 imprescind\u00edvel aumentar a conscientiza\u00e7\u00e3o em todo o mundo, especialmente na comunidade m\u00e9dica. Hematologistas, juntamente com outros cl\u00ednicos, patologistas e radiologistas, desempenham um papel vital na identifica\u00e7\u00e3o da ECD. Se os m\u00e9dicos conseguirem reconhecer a ECD em um paciente com precis\u00e3o e rapidez, h\u00e1 tratamentos vi\u00e1veis aprovados pela FDA e fora da bula dispon\u00edveis para melhorar a qualidade de vida, retardar a progress\u00e3o da doen\u00e7a potencialmente fatal e, em alguns casos, at\u00e9 possivelmente reverter os danos causados pelo dist\u00farbio. A chave para um desfecho bem-sucedido ou mais positivo \u00e9 o diagn\u00f3stico precoce.<\/p>\n<p>[\/et_pb_text][et_pb_video src=&#8221;https:\/\/youtu.be\/TiI3jHqepDI&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; width=&#8221;50%&#8221; module_alignment=&#8221;center&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_video][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Pontos-chave para endocrinologistas<\/h2>\n<ul>\n<li>Nenhuma das altera\u00e7\u00f5es patol\u00f3gicas \u00e9 exclusiva da ECD \u2013 <strong>as caracter\u00edsticas cl\u00ednicas e radiogr\u00e1ficas s\u00e3o fundamentais para o diagn\u00f3stico.<\/strong><\/li>\n<li>Alto grau de suspei\u00e7\u00e3o de ECD em pacientes com o t\u00edpico \u201crim peludo\u201d, acometimento retroperitoneal ou \u00f3sseo, especialmente se houver diabetes insipidus concomitante.<\/li>\n<li>Diabetes insipidus e\/ou hipogonadismo podem preceder o diagn\u00f3stico da doen\u00e7a por v\u00e1rios anos.<\/li>\n<li>O envolvimento\/infiltra\u00e7\u00e3o das adrenais geralmente n\u00e3o leva \u00e0 insufici\u00eancia adrenal prim\u00e1ria; a insufici\u00eancia adrenal central \u00e9 rara, mas deve ser considerada.<\/li>\n<li>Todas as gl\u00e2ndulas centrais e perif\u00e9ricas podem ser infiltradas, mas as altera\u00e7\u00f5es hormonais s\u00e3o mais frequentes do que anomalias morfol\u00f3gicas vis\u00edveis.<\/li>\n<li>D\u00e9ficits hormonais podem surgir anos ap\u00f3s o diagn\u00f3stico; portanto, devem ser reavaliados anualmente.<\/li>\n<li>Homens t\u00eam risco de infertilidade e devem receber informa\u00e7\u00f5es sobre preserva\u00e7\u00e3o de esperma.<\/li>\n<li>A s\u00edndrome metab\u00f3lica na ECD n\u00e3o \u00e9 bem estudada; obesidade, dislipidemia, hipertens\u00e3o e disglicemia devem ser abordadas.<\/li>\n<li>\u00c9 muito importante realizar uma PET-CT do v\u00e9rtice aos p\u00e9s (corpo inteiro) para identificar o acometimento diametafis\u00e1rio ao redor da articula\u00e7\u00e3o do joelho e investigar acometimento de m\u00faltiplos \u00f3rg\u00e3os.<\/li>\n<li>A ECD pode coexistir com Histiocitose de C\u00e9lulas de Langerhans (LCH) ou neoplasia mieloide.<\/li>\n<li>Estudos moleculares t\u00eam desempenhado um papel cada vez maior no diagn\u00f3stico e no manejo.<\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h2>Entre em contato com endocrinologistas com experi\u00eancia em ECD<\/h2>\n<h5>Fady Hannah-Shmouni, MD, DABIM, FRCPC<\/h5>\n<p>E-mail: <a href=\"mailto:fady.hannah-shmouni@nih.gov\">fady.hannah-shmouni@nih.gov<\/a><\/p>\n<h5>Carine Courtillot, MD<\/h5>\n<p>E-mail: <a href=\"mailto:carine.courtillot@aphp.fr\">carine.courtillot@aphp.fr<\/a><\/p>\n<h5>Skand Shekhar, MD<\/h5>\n<p>Telefone: <a href=\"tel:301-451-1866\">301-451-1866<\/a><\/p>\n<p><strong>Entre em contato com o Navegador de Pacientes da ECDGA<\/strong><\/p>\n<p><a href=\"mailto:Belinda.Cobb@erdheim-chester.org\">Belinda Cobb<\/a><\/p>\n<p>Se tiver interesse em disponibilizar estes materiais para fins de conscientiza\u00e7\u00e3o e educa\u00e7\u00e3o, por favor, <a href=\"https:\/\/www.erdheim-chester.org\/pt-br\/entre-em-contato-conosco\/\">entre em contato conosco<\/a>.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[et_pb_dmb_breadcrumbs _builder_version=&#8221;4.27.4&#8243; 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