巨大肝血管内皮瘤与消耗性甲状腺功能减退症。
Massive hepatic hemangioendothelioma and consumptive hypothyroidism.
作者信息
Mouat Frances, Evans Helen M, Cutfield Wayne S, Hofman Paul L, Jefferies Craig
机构信息
The Liggins Institute, The University ofAuckland, New Zealand.
出版信息
J Pediatr Endocrinol Metab. 2008 Jul;21(7):701-3. doi: 10.1515/jpem.2008.21.7.701.
PMID:18780606
Abstract
Hypothyroidism was diagnosed in an infant with massive hepatic hemangioendothelioma. Markedly elevated serum reverse-triiodothyronine levels confirmed consumptive hypothyroidism. Large doses of thyroxine were initially required to normalise TSH. Thyroxine was tapered as the tumor regressed and was discontinued at 16 months old. Thyroid function remains normal without treatment.
摘要
一名患有巨大肝脏血管内皮瘤的婴儿被诊断为甲状腺功能减退。血清反三碘甲状腺原氨酸水平显著升高证实为消耗性甲状腺功能减退。最初需要大剂量甲状腺素使促甲状腺激素水平恢复正常。随着肿瘤消退，甲状腺素逐渐减量，并在16个月大时停药。未经治疗，甲状腺功能仍保持正常。
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