Chung Jin Ook, Cho Dong Hyeok, Chung Dong Jin, Chung Min Young
Division of Endocrinology and Metabolism, Department of Internal Medicine, Chonnam National University Medical School, Republic of Korea.
Intern Med. 2011;50(24):2997-3001. doi: 10.2169/internalmedicine.50.5693. Epub 2011 Dec 15.
We describe a rare case of transient thyrotoxicosis secondary to painless thyroiditis accompanied by panhypopituitarism caused by ruptured Rathke's cleft cyst. A 32-year-old man presented with vomiting and diarrhea. Laboratory data showed that he had transient hypercalcemia, primary thyrotoxicosis due to painless thyroiditis and panhypopituitarism. The sellar magnetic resonance imaging showed cystic macroadenoma. He underwent surgical exploration. Histological examination showed a ruptured Rathke's cleft cyst. Our case suggests that, although rare, it is important to recognize the possibility of coexistence of hypopituitarism in patients with primary thyrotoxicosis.
我们描述了一例罕见的继发于无痛性甲状腺炎的短暂性甲状腺毒症病例，该病例伴有因拉克氏裂囊肿破裂导致的全垂体功能减退。一名32岁男性出现呕吐和腹泻症状。实验室检查数据显示他患有短暂性高钙血症、无痛性甲状腺炎所致的原发性甲状腺毒症以及全垂体功能减退。蝶鞍磁共振成像显示为囊性大腺瘤。他接受了手术探查。组织学检查显示拉克氏裂囊肿破裂。我们的病例表明，虽然罕见，但认识到原发性甲状腺毒症患者中存在垂体功能减退共存的可能性很重要。
