[葡萄胎中的甲状腺功能亢进症]
[Hyperthyroidism in molar pregnancy].
作者信息
Boufettal H, Mahdoui S, Noun M, Hermas S, Samouh N
机构信息
Service de gynécologie-obstétrique « C », faculté de médecine et de pharmacie, université Ain Chok, centre hospitalier universitaire Ibn Rochd, Casablanca, Maroc.
Service de gynécologie-obstétrique « C », faculté de médecine et de pharmacie, université Ain Chok, centre hospitalier universitaire Ibn Rochd, Casablanca, Maroc.
出版信息
Rev Med Interne. 2014 Mar;35(3):202-5. doi: 10.1016/j.revmed.2013.02.018. Epub 2013 Sep 25.
INTRODUCTION
Hyperthyroidism is a rare complication of molar pregnancy.
CASE REPORT
We report a 39-year-old woman who presented a thyrotoxic syndrome accompanying a molar pregnancy. Serum thyroid hormones were elevated and returned to normal level after uterine evacuation of a molar pregnancy. The authors detail the role of thyroid stimulating property of human gonadotropin chorionic hormone and its structural changes during the gestational trophoblastic diseases. These changes give the latter the thyroid stimulating properties and signs of hyperthyroidism.
CONCLUSION
Molar pregnancy may be a cause of hyperthyroidism. The diagnosis of molar pregnancy should be a mention to thyrotoxicosique syndrome in a woman of childbearing age.
引言
甲状腺功能亢进是葡萄胎妊娠的一种罕见并发症。
病例报告
我们报告一名39岁女性，其在葡萄胎妊娠时出现甲状腺毒症综合征。血清甲状腺激素升高，在葡萄胎妊娠子宫排空后恢复至正常水平。作者详细阐述了人绒毛膜促性腺激素的甲状腺刺激特性及其在妊娠滋养细胞疾病期间的结构变化。这些变化赋予后者甲状腺刺激特性和甲状腺功能亢进的体征。
结论
葡萄胎妊娠可能是甲状腺功能亢进的一个原因。在育龄期女性中，葡萄胎妊娠的诊断应提示甲状腺毒症综合征。
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