Bartolomei C, Gianchecchi D, Chiavistelli P, Lenzi R
Divisione di Medicina Interna, Ospedale Civile di Rosignano Solvay, Livorno.
Minerva Med. 1992 Jul-Aug;83(7-8):485-6.
The association of multiple endocrine diseases is frequent and the coincidental involvement of the thyroid and adrenal glands is well recognized. On the contrary, two cases of hypo or hyperthyroidism have only been reported in literature: one concerning adrenal pheochromocytoma with simultaneous autoimmune hypothyroidism and another of a diffuse toxic goiter associated with pheochromocytoma. The purpose of the present report is to point out a new case of a pheochromocytoma associated with an autoimmune hypothyroidism in which the latter is florid and not biochemical.
多种内分泌疾病并存的情况很常见,甲状腺和肾上腺同时受累已得到充分认识。相反,文献中仅报道过两例甲状腺功能减退或亢进的病例:一例是肾上腺嗜铬细胞瘤合并自身免疫性甲状腺功能减退,另一例是弥漫性毒性甲状腺肿合并嗜铬细胞瘤。本报告的目的是指出一例与自身免疫性甲状腺功能减退相关的嗜铬细胞瘤新病例,其中自身免疫性甲状腺功能减退表现明显而非仅为生化指标异常。