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α干扰素诱发一名格雷夫斯病患者出现短暂性严重甲状腺功能减退。

Interferon-alpha-induced transient severe hypothyroidism in a patient with Graves' disease.

作者信息

Braga-Basaria M, Basaria S

机构信息

*SEMPR, (Division of Endocrinology and Metabolism) Hospital de Clínicas da Universidade Federal do Paraná, Curitiba, Brazil,

出版信息

J Endocrinol Invest. 2003 Mar;26(3):261-4. doi: 10.1007/BF03345167.

Abstract

Interferons (IFNs) are proteins with anti-viral activity and are widely used in the treatment of patients with chronic hepatitis C virus (HCV) infection. The use of IFNs has resulted in thyroid dysfunction in a variety of ways. We report a case of a woman with hyperthyroidism due to Graves' disease who developed significant hypothyroidism during treatment with IFN-alpha 2a for HCV infection. However, after discontinuation of IFN-alpha 2a, hyperthyroidism recurred. Potential mechanisms by which IFNs influence thyroid function are discussed.

摘要

干扰素(IFNs)是具有抗病毒活性的蛋白质,广泛用于治疗慢性丙型肝炎病毒(HCV)感染患者。干扰素的使用已通过多种方式导致甲状腺功能障碍。我们报告一例因格雷夫斯病患有甲状腺功能亢进的女性,在使用α-2a干扰素治疗HCV感染期间出现明显的甲状腺功能减退。然而,停用α-2a干扰素后,甲状腺功能亢进复发。文中讨论了干扰素影响甲状腺功能的潜在机制。

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