妊娠期甲状腺毒症：一例报告
Thyrotoxicosis in pregnancy:: A case report.
作者信息
Kamath B R, Rao K J, Mayadunne A A
机构信息
Department of Medicine and.
出版信息
J Sci Res Med Sci. 2001 Oct;3(2):113-5.
Abstract
There are various causes of hyperthyroidism in pregnancy such as Graves' disease and gestational thyrotoxicosis. The thyroid stimulation results from the excessive levels of circulating human chorionic gonadotropin (hCG) produced by the trophoblastic tissue in both hydatidiform moles and choriocarcinoma. We present a pregnant patient with hydatidiform mole who presented with hyperthyroidism that resolved after evacuation of the mole.
摘要
妊娠期间甲状腺功能亢进有多种原因，如格雷夫斯病和妊娠甲状腺毒症。在葡萄胎和绒毛膜癌中，滋养层组织产生的循环人绒毛膜促性腺激素（hCG）水平过高会导致甲状腺受到刺激。我们报告了一名患有葡萄胎的孕妇，该孕妇出现甲状腺功能亢进，在清除葡萄胎后甲状腺功能亢进症状得到缓解。
相似文献
1
Thyrotoxicosis in pregnancy:: A case report.
J Sci Res Med Sci. 2001 Oct;3(2):113-5.
2
Human chorionic gonadotropin and the thyroid: hyperemesis gravidarum and trophoblastic tumors.
Thyroid. 1999 Jul;9(7):653-7. doi: 10.1089/thy.1999.9.653.
3
Choriocarcinoma as a cause of thyrotoxicosis.
Am J Med. 1976 Jun;60(7):1036-40. doi: 10.1016/0002-9343(76)90577-5.
4
Gestational trophoblastic diseases - clinical guidelines for diagnosis, treatment, follow-up, and counselling.
Dan Med J. 2015 Nov;62(11):A5082.
5
Diagnosis of hydatidiform mole and persistent trophoblastic disease: diagnostic accuracy of total human chorionic gonadotropin (hCG), free hCG {alpha}- and {beta}-subunits, and their ratios.
Eur J Endocrinol. 2005 Oct;153(4):565-75. doi: 10.1530/eje.1.01997.
6
Serum Human Chorionic Gonadotropin Normogram for the Detection of Gestational Trophoblastic Neoplasia.
Int J Gynecol Cancer. 2017 Jun;27(5):1035-1041. doi: 10.1097/IGC.0000000000000966.
7
Pre-evacuation hCG glycoforms in uneventful complete hydatidiform mole and persistent trophoblastic disease.
Gynecol Oncol. 2010 Apr;117(1):47-52. doi: 10.1016/j.ygyno.2010.01.008. Epub 2010 Feb 8.
8
Physiological and pathological aspects of the effect of human chorionic gonadotropin on the thyroid.
Best Pract Res Clin Endocrinol Metab. 2004 Jun;18(2):249-65. doi: 10.1016/j.beem.2004.03.010.
9
Immunohistochemistry in the diagnosis of the gestational trophoblastic disease.
Acta Obstet Gynecol Scand. 1996 Sep;75(8):753-6. doi: 10.3109/00016349609065741.
10
[Studies on the viability of trophoblast after termination of various kinds of pregnancies (author's transl)].
Nihon Sanka Fujinka Gakkai Zasshi. 1980 Oct;32(10):1575-82.
本文引用的文献
1
Graves' disease and pregnancy.
Endocr Pract. 1995 May-Jun;1(3):186-92. doi: 10.4158/EP.1.3.186.
2
Hyperthyroidism due to inappropriate production of human chorionic gonadotropin.
Clin Obstet Gynecol. 1997 Mar;40(1):32-44. doi: 10.1097/00003081-199703000-00006.
3
Thyrotropic action of human chorionic gonadotropin.
Thyroid. 1995 Oct;5(5):425-34. doi: 10.1089/thy.1995.5.425.
4
Increased in vitro thyrotropic activity of partially sialated human chorionic gonadotropin extracted from hydatidiform moles of patients with hyperthyroidism.
J Clin Endocrinol Metab. 1993 Jan;76(1):70-4. doi: 10.1210/jcem.76.1.8421106.
5
Gestational thyrotoxicosis and hyperemesis gravidarum: possible role of hCG with higher stimulating activity.
Clin Endocrinol (Oxf). 1993 Apr;38(4):345-50. doi: 10.1111/j.1365-2265.1993.tb00512.x.
6
A comparison of propylthiouracil versus methimazole in the treatment of hyperthyroidism in pregnancy.
Am J Obstet Gynecol. 1994 Jan;170(1 Pt 1):90-5. doi: 10.1016/s0002-9378(94)70390-6.
7
Effect of peptide nicking in the human chorionic gonadotropin beta-subunit on stimulation of recombinant human thyroid-stimulating hormone receptors.
Eur J Endocrinol. 1994 Jan;130(1):92-6. doi: 10.1530/eje.0.1300092.
8
A long-term follow-up of postpartum thyroiditis.
Clin Endocrinol (Oxf). 1990 May;32(5):559-64. doi: 10.1111/j.1365-2265.1990.tb00898.x.
9
How common is postpartum thyroiditis? A methodologic overview of the literature.
Arch Intern Med. 1990 Jul;150(7):1397-400.
10
Inadvertent 131I therapy for hyperthyroidism in the first trimester of pregnancy.
J Nucl Med. 1976 Feb;17(02):146-9.
Zotero 插件