一名13岁女孩的葡萄胎与甲状腺功能亢进症

Molar pregnancy and hyperthyroidism in a 13 year-old girl.

作者信息

Panamonta Ouyporn, Luanratanakorn Sanguanchoke, Thampratankul Lunliya

机构信息

Departments of Pediatrics, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.

出版信息

J Pediatr Endocrinol Metab. 2003 Jun;16(5):787-9. doi: 10.1515/jpem.2003.16.5.787.

DOI:10.1515/jpem.2003.16.5.787

PMID:12880130

Abstract

A 13 year-old girl presented with secondary amenorrhea, vaginal bleeding and dyspnea. Hyperthyroidism was diagnosed based on clinical symptoms and thyroid function test. Ultrasonographic findings and tissue histology from curettage were consistent with a hydatidiform mole. She reached clinical euthyroidism 2 weeks after uterine curettage and propylthiouracil treatment. The diagnosis of putative adult diseases in pediatric patients should not be ruled out.

摘要

一名13岁女孩出现继发性闭经、阴道出血和呼吸困难。根据临床症状和甲状腺功能检查诊断为甲状腺功能亢进。超声检查结果和刮宫组织病理学与葡萄胎相符。刮宫及丙硫氧嘧啶治疗2周后她达到临床甲状腺功能正常。儿科患者中不应排除疑似成人疾病的诊断。