一例罕见的伴有黄疸和高钙血症的甲状腺功能亢进病例。
An unusual case of hyperthyroidism associated with jaundice and hypercalcaemia.
作者信息
Klangjareonchai Theerawut
机构信息
Department of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
出版信息
BMJ Case Rep. 2012 May 8;2012:bcr1120115076. doi: 10.1136/bcr.11.2011.5076.
Abstract
A 51-year-old woman with rheumatoid arthritis presented with a 3 month history of painless jaundice and significant weight loss and constipation. Laboratory values were consistent with hyperthyroidism, cholestatic jaundice and parathyroid hormone-independent hypercalcaemia. Three months after beginning of methimazole, euthyroidism was achieved and serum adjusted calcium, total and direct bilirubin levels were normal.
摘要
一名51岁的类风湿关节炎女性患者，出现无痛性黄疸、显著体重减轻和便秘3个月。实验室检查结果符合甲状腺功能亢进、胆汁淤积性黄疸和甲状旁腺激素非依赖性高钙血症。开始服用甲巯咪唑3个月后，甲状腺功能恢复正常，血清校正钙、总胆红素和直接胆红素水平均正常。
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