Candrina R, Giustina G
Cattedra di Patologia Medica, Universitá di Brescia, Italy.
Am J Med Sci. 1990 Jul;300(1):37-40. doi: 10.1097/00000441-199007000-00008.
A 26-year-old woman with features of bulimia nervosa presented with fever of unknown origin, hepatomegaly, marked leukocytosis, and increased erythrocyte sedimentation rate. Following prolonged observation, slight tenderness over the thyroid gland and signs of thyrotoxicosis occurred. A thyroid scan demonstrated no isotope uptake and the patient admitted abusing an organic iodine preparation in order to control her weight. The diagnosis of iodine-induced subacute thyroiditis with thyrotoxicosis was, therefore, considered. A brief course of low-dose steroids normalized both thyroid function and hematological parameters. On followup evaluation, urinary iodine excretion and thyroid function tests were normal.
一名患有神经性贪食症的26岁女性，出现不明原因发热、肝肿大、明显白细胞增多及红细胞沉降率升高。经过长时间观察，甲状腺出现轻微压痛及甲状腺毒症体征。甲状腺扫描显示无同位素摄取，患者承认曾滥用有机碘制剂以控制体重。因此，考虑诊断为碘诱导的亚急性甲状腺炎伴甲状腺毒症。短期低剂量类固醇治疗使甲状腺功能和血液学参数恢复正常。随访评估时，尿碘排泄及甲状腺功能检查均正常。
