Horster F A
Langenbecks Arch Chir. 1978 Nov;347:125-30. doi: 10.1007/BF01579317.
In hyperthyroidism we differentiate two main forms: (1) hyperthyroidism due to Basedow's (Graves') disease, always characterized by endocrine eye signs, frequently with goiter; (2) hyperthyroidism due to nodular goiter or to Plummers' disease, without endocrine exophthalmos. The clinical diagnosis includes typical complaints (e.g., weight loss, heat intolerance, sweating) and findings (e.g., tachycardia, tremor, soft-warm skin). The technical diagnosis includes in vivo (scintigraphy, RI-uptake, X-ray examination) and in vitro (T3-RIA, T4-assay, TRH response to TRH) tests.
在甲状腺功能亢进症中,我们区分出两种主要类型:(1)由巴塞多氏(格雷夫斯氏)病引起的甲状腺功能亢进症,其特征始终为内分泌性眼部体征,常伴有甲状腺肿大;(2)由结节性甲状腺肿或普卢默氏病引起的甲状腺功能亢进症,无内分泌性眼球突出。临床诊断包括典型症状(如体重减轻、不耐热、多汗)和体征(如心动过速、震颤、皮肤柔软温暖)。技术诊断包括体内检查(如闪烁扫描、放射性碘摄取、X线检查)和体外检查(如三碘甲状腺原氨酸放射免疫分析、甲状腺素测定、促甲状腺激素释放激素对促甲状腺激素释放激素的反应)。