Shaikh M G, Lewis P, Kirk J M W
Department of Endocrinology, Birmingham Children's Hospital, Birmingham, United Kingdom.
Acta Paediatr. 2004 Dec;93(12):1663-5.
Patients with primary hypothyroidism may also have other underlying associated endocrinopathies, which are important to exclude. A 15-y-old girl presented with clinical biochemical evidence of hypothyroidism.
Thyroxine replacement unmasked Addison's disease and precipitated an acute adrenal crisis. On physiological steroid replacement therapy, her "hypothyroidism" resolved.
原发性甲状腺功能减退症患者可能还存在其他潜在的相关内分泌疾病,排除这些疾病很重要。一名15岁女孩出现甲状腺功能减退的临床生化证据。
甲状腺素替代治疗揭示了艾迪生病并引发了急性肾上腺危象。在进行生理性类固醇替代治疗后,她的“甲状腺功能减退症”得到缓解。