口服及静脉注射碘造影剂后发生术后乔德-巴塞多现象的病例报告
A Case Report of Post-Operative Jöd-Basedow Phenomennon Following Oral and IV Iodine Contrast Administration.
作者信息
Higgs Maureen, Hull Erroll, Lujan Eugenio
机构信息
Department of Anesthesia, Naval Medical Center, 34800 Bob Wilson Drive, San Diego, CA 92134, USA.
出版信息
Case Rep Endocrinol. 2014;2014:980283. doi: 10.1155/2014/980283. Epub 2014 Feb 11.
Abstract
This is a case of thyrotoxicosis, due to the Jöd-Basedow phenomenon following administration of oral and IV iodinated contrast in a patient with history of gastrointestinal stromal tumor (GIST) and small bowel obstruction. The patient developed atrial fibrillation and had an extended stay in the intensive care unit. Given the aging population with possible subclinical hyperthyroidism, multinodular goiter, and the rise in contrast administration for routine diagnostic studies, this case serves to raise awareness of the risks of "routine" tests administered to our aging patient population.
摘要
这是一例甲状腺毒症病例，其病因是一名有胃肠道间质瘤（GIST）病史和小肠梗阻的患者在口服及静脉注射碘化造影剂后出现了约德-巴塞多现象。该患者发生了心房颤动，并在重症监护病房延长了住院时间。鉴于老年人群中可能存在亚临床甲状腺功能亢进、多结节性甲状腺肿，以及常规诊断检查中造影剂使用的增加，本病例旨在提高对给予老年患者“常规”检查风险的认识。
相似文献
1
A Case Report of Post-Operative Jöd-Basedow Phenomennon Following Oral and IV Iodine Contrast Administration.口服及静脉注射碘造影剂后发生术后乔德-巴塞多现象的病例报告
Case Rep Endocrinol. 2014;2014:980283. doi: 10.1155/2014/980283. Epub 2014 Feb 11.
2
Initially Suspected Anaphylaxis Following Iodinated Contrast: Jod-Basedow Phenomenon in a 73-Year-Old Female Without a History of Thyroid Dysfunction.碘造影剂注射后最初疑似过敏反应：一名73岁无甲状腺功能障碍病史女性的乔德-巴塞多现象
Cureus. 2023 May 1;15(5):e38415. doi: 10.7759/cureus.38415. eCollection 2023 May.
3
A Thyrotoxicosis Surprise: Jod-Basedow Phenomenon Following IV Contrast Administration.甲状腺毒症意外：静脉注射造影剂后的约德-巴塞多现象。
Cureus. 2022 May 4;14(5):e24742. doi: 10.7759/cureus.24742. eCollection 2022 May.
4
Contrast Induced Thyrotoxicosis in a Patient with New onset Atrial Fibrillation: A Case Report and Review.新发房颤患者造影剂诱发的甲状腺毒症：一例报告及文献复习
J Atr Fibrillation. 2013 Jun 30;6(1):379. doi: 10.4022/jafib.379. eCollection 2013 Jun-Jul.
5
Jod-Basedow syndrome following oral iodine and radioiodinated-antibody administration.
J Nucl Med. 1997 Nov;38(11):1816-7.
7
Possible Iodine-Induced Thyrotoxicosis in a Previously Healthy Adolescent following Administration of Iodinated Contrast Media.一名既往健康的青少年在使用碘化造影剂后可能发生碘诱导的甲状腺毒症。
Case Rep Endocrinol. 2021 Nov 23;2021:5930515. doi: 10.1155/2021/5930515. eCollection 2021.
8
Thyrotoxicosis: an under-recognised aetiology.甲状腺毒症：一种未被充分认识的病因。
BMJ Case Rep. 2015 May 20;2015:bcr2014208119. doi: 10.1136/bcr-2014-208119.
9
Iodide-induced Hyperthyroidism Within Four Hours of Iodide Load: A Case Report and Review.碘负荷后四小时内碘致甲状腺功能亢进症：一例报告及文献复习
Cureus. 2019 Oct 22;11(10):e5960. doi: 10.7759/cureus.5960.
10
Weathering the Storm: Thyroid Storm Precipitated by Radioiodine Contrast in Metastatic Thyroid Carcinoma.安然度过风暴：放射性碘造影剂诱发的转移性甲状腺癌甲状腺风暴
Cureus. 2021 Mar 31;13(3):e14219. doi: 10.7759/cureus.14219.
引用本文的文献
1
Hypothyroidism and Hyperthyroidism in an Adolescent With Complex Congenital Heart Disease Exposed to Iodinated Contrast Media: Case Report.一名患有复杂先天性心脏病的青少年在接受碘化造影剂后出现甲状腺功能减退和甲状腺功能亢进：病例报告
Case Rep Endocrinol. 2025 Jul 15;2025:6859739. doi: 10.1155/crie/6859739. eCollection 2025.
2
Intravenous Iodinated Contrast Induced Thyrotoxic Periodic Paralysis: A Case Report.静脉注射碘化造影剂诱发甲状腺毒症性周期性麻痹：一例报告
Case Rep Endocrinol. 2022 Oct 3;2022:3615312. doi: 10.1155/2022/3615312. eCollection 2022.
3
Iodinated Contrast-Induced Thyroid Storm With Concomitant Cardiac Tamponade: A Case Report.碘造影剂诱发甲状腺危象合并心脏压塞：一例报告
Cureus. 2022 Aug 14;14(8):e28001. doi: 10.7759/cureus.28001. eCollection 2022 Aug.
4
A Thyrotoxicosis Surprise: Jod-Basedow Phenomenon Following IV Contrast Administration.甲状腺毒症意外：静脉注射造影剂后的约德-巴塞多现象。
Cureus. 2022 May 4;14(5):e24742. doi: 10.7759/cureus.24742. eCollection 2022 May.
5
Possible Iodine-Induced Thyrotoxicosis in a Previously Healthy Adolescent following Administration of Iodinated Contrast Media.一名既往健康的青少年在使用碘化造影剂后可能发生碘诱导的甲状腺毒症。
Case Rep Endocrinol. 2021 Nov 23;2021:5930515. doi: 10.1155/2021/5930515. eCollection 2021.
6
Weathering the Storm: Thyroid Storm Precipitated by Radioiodine Contrast in Metastatic Thyroid Carcinoma.安然度过风暴：放射性碘造影剂诱发的转移性甲状腺癌甲状腺风暴
Cureus. 2021 Mar 31;13(3):e14219. doi: 10.7759/cureus.14219.
7
Iodide-induced Hyperthyroidism Within Four Hours of Iodide Load: A Case Report and Review.碘负荷后四小时内碘致甲状腺功能亢进症：一例报告及文献复习
Cureus. 2019 Oct 22;11(10):e5960. doi: 10.7759/cureus.5960.
8
Thyrotoxicosis: an under-recognised aetiology.甲状腺毒症：一种未被充分认识的病因。
BMJ Case Rep. 2015 May 20;2015:bcr2014208119. doi: 10.1136/bcr-2014-208119.
本文引用的文献
1
Iodine-induced thyroid dysfunction.碘致甲状腺功能紊乱。
Curr Opin Endocrinol Diabetes Obes. 2012 Oct;19(5):414-9. doi: 10.1097/MED.0b013e3283565bb2.
2
Association between iodinated contrast media exposure and incident hyperthyroidism and hypothyroidism.碘化造影剂暴露与新发甲状腺功能亢进症和甲状腺功能减退症之间的关联。
Arch Intern Med. 2012 Jan 23;172(2):153-9. doi: 10.1001/archinternmed.2011.677.
3
A rare storm in a psychiatric ward: thyroid storm.精神科病房里罕见的风暴：甲状腺危象。
Gen Hosp Psychiatry. 2012 Mar-Apr;34(2):210.e1-4. doi: 10.1016/j.genhosppsych.2011.08.013. Epub 2011 Sep 22.
4
Iodine excess.碘过量。
Best Pract Res Clin Endocrinol Metab. 2010 Feb;24(1):107-15. doi: 10.1016/j.beem.2009.08.010.
5
Thyrotoxicosis and thyroid storm.甲状腺毒症与甲状腺危象
Endocrinol Metab Clin North Am. 2006 Dec;35(4):663-86, vii. doi: 10.1016/j.ecl.2006.09.008.
6
Effect of iodinated contrast media on thyroid function in adults.碘化造影剂对成人甲状腺功能的影响。
Eur Radiol. 2004 May;14(5):902-7. doi: 10.1007/s00330-004-2238-z. Epub 2004 Feb 28.
7
Hyperthyroidism.甲状腺功能亢进症
Lancet. 2003 Aug 9;362(9382):459-68. doi: 10.1016/S0140-6736(03)14073-1.
8
Iodine nutrition in the United States. Trends and public health implications: iodine excretion data from National Health and Nutrition Examination Surveys I and III (1971-1974 and 1988-1994).美国的碘营养状况。趋势及对公众健康的影响：来自第一次和第三次全国健康与营养检查调查（1971 - 1974年和1988 - 1994年）的碘排泄数据。
J Clin Endocrinol Metab. 1998 Oct;83(10):3401-8. doi: 10.1210/jcem.83.10.5168.
9
Jod-Basedow syndrome following oral iodine and radioiodinated-antibody administration.
J Nucl Med. 1997 Nov;38(11):1816-7.
10
Iodine induced thyrotoxicosis in apparently normal thyroid glands.
Acta Endocrinol (Copenh). 1980 Jul;94(3):332-6. doi: 10.1530/acta.0.0940332.
Zotero 插件