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一例新诊断的原发性甲状腺功能减退症患者，意识恶化且对甲状腺素治疗无反应——还应考虑哪些因素？

A case of newly diagnosed primary hypothyroidism with deteriorating consciousness that did not respond to thyroxine--what else should be considered?

作者信息

Williams Aled, Green Nikki, Phyu Cho Thae, Bondugulapati Rao, Dixon A N, Harvey John

机构信息

Wrexham Maelor Hospital, Wrexham, UK.

出版信息

Acute Med. 2013;12(2):102-4.

PMID:23732135
Abstract

We present an unusual case of a 60 year old male who was noted to have primary hypothyroidism and decreased consciousness which did not respond to Levothyroxine. Further investigations revealed a diagnosis of Hashimoto's Encephalopathy which responded well to steroids. We describe the case in detail and discuss the available relevant literature on this topic.

摘要

我们报告了一例罕见病例，一名60岁男性，被诊断为原发性甲状腺功能减退且意识减退，对左甲状腺素治疗无反应。进一步检查发现诊断为桥本脑病，对类固醇治疗反应良好。我们详细描述了该病例，并讨论了关于这一主题的现有相关文献。

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