Brueckner Dieter, Brueckner Maike
Practice, Maerkische Str. 237, Dortmund 44141, Germany.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.09.2008.0848. Epub 2009 Apr 3.
A case of a young man with myopathy, elevated serum aminotransferase and serum creatinine levels is presented. He had a polymyositis-like-syndrome caused by hashimoto thyroiditis with hypothyroidism. Thyroid hormone replacement therapy led to improvement in both the clinical and laboratory abnormalities. With the established tests for estimating the glomerular filtration rate we cannot determine if there was really a reversible acute renal failure or not.
本文报告一例患有肌病、血清氨基转移酶和血清肌酐水平升高的年轻男性病例。他患有桥本甲状腺炎伴甲状腺功能减退所致的类多肌炎综合征。甲状腺激素替代疗法使临床和实验室异常情况均得到改善。利用现有的评估肾小球滤过率的检测方法,我们无法确定是否真的存在可逆性急性肾衰竭。