Gaines P, Chan J C, Cockram C S
Department of Radiology, Prince of Wales Hospital, Shatin, New Territories, Hong Kong.
Postgrad Med J. 1991 Jul;67(789):680-2. doi: 10.1136/pgmj.67.789.680.
A case of histiocytosis X involving the thyroid and hypothalamus is reported. A 16 year old female presented with amenorrhoea and diabetes insipidus. She subsequently developed a painful goitre with biochemical hypothyroidism, and stridor. The stridor and goitre responded to cyclophosphamide. Previous publications on the use of cytotoxics in histiocytosis X involving the thyroid are reviewed. We describe for the first time both the ultrasound appearances of the thyroid in this condition and the use of serial volumetric measurements to monitor therapy.
报告了一例累及甲状腺和下丘脑的组织细胞增多症X。一名16岁女性出现闭经和尿崩症。随后她出现了伴有生化性甲状腺功能减退的疼痛性甲状腺肿及喘鸣。喘鸣和甲状腺肿对环磷酰胺治疗有反应。回顾了先前关于细胞毒性药物在累及甲状腺的组织细胞增多症X中应用的文献。我们首次描述了这种情况下甲状腺的超声表现以及使用连续体积测量来监测治疗。
