子痫前期和腹水掩盖下的亚临床甲状腺功能减退症。
Subclinical hypothyroidism unmasked by preeclampsia and ascites.
作者信息
Ipadeola A, Nkwocha G C, Adeleye J O
机构信息
Department of Medicine, University College Hospital, Ibadan, Nigeria.
出版信息
Indian J Endocrinol Metab. 2013 Oct;17(Suppl 1):S173-5. doi: 10.4103/2230-8210.119562.
Subclinical hypothyroidism is an asymptomatic endocrine disorder while hypothyroidism, on the other hand, can present with a wide range of clinical features which may be nonspecific. We describe a case of subclinical hypothyroidism in a 39-year-old pregnant woman presenting with preeclampsia and ascites. Ascitic fluid was found to be exudative as typically found in persons with hypothyroidism presenting with ascites. Treatment with levothyroxine resulted in complete resolution of ascites. The possibility of subclinical and clinical hypothyroidism should be borne in mind when persons with refractory exudative ascites of unknown origin are being investigated. Also, pregnant women with severe preeclampsia will benefit from screening for subclinical and clinical hypothyroidism.
亚临床甲状腺功能减退是一种无症状的内分泌疾病，而甲状腺功能减退则可能表现出一系列非特异性的临床特征。我们描述了一例39岁患有先兆子痫和腹水的孕妇亚临床甲状腺功能减退的病例。腹水被发现是渗出性的，这在患有腹水的甲状腺功能减退患者中很常见。左甲状腺素治疗使腹水完全消退。在对不明原因的难治性渗出性腹水患者进行调查时，应考虑亚临床和临床甲状腺功能减退的可能性。此外，患有严重先兆子痫的孕妇将受益于亚临床和临床甲状腺功能减退的筛查。
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