Romano A, Blethen S L
Department of Pediatrics, Schneider Children's Hospital of Long Island Jewish Medical Center, New Hyde Park, N.Y.
Horm Res. 1991;35(3-4):170-2. doi: 10.1159/000181896.
Subacute thyroiditis is a benign, self-limited disorder characterized by hyperthyroidism that resolves spontaneously. Although cortisol metabolism is accelerated in hyperthyroidism, cortisol levels are usually normal. We describe a child with subacute thyroiditis whose presenting complaints and preliminary evaluation suggested a diagnosis of Cushing's syndrome. There was spontaneous improvement in the signs and symptoms with concomitant normalization of laboratory values. We conclude that hypercortisolism may be a manifestation of hyperthyroidism, and the evaluation of Cushing's syndrome should include thyroid function tests.
亚急性甲状腺炎是一种良性的、自限性疾病，其特征为甲状腺功能亢进且可自发缓解。虽然在甲状腺功能亢进时皮质醇代谢加快，但皮质醇水平通常正常。我们描述了一名患有亚急性甲状腺炎的儿童，其最初的症状和初步评估提示为库欣综合征。随着实验室检查值恢复正常，体征和症状也自发改善。我们得出结论，皮质醇增多症可能是甲状腺功能亢进的一种表现，对库欣综合征的评估应包括甲状腺功能检查。
