Joshi Ameya S, Varthakavi Premlata K, Bhagwat Nikhil M, Thiruvengadam Narendhran Ramaswamy
Department of Endocrinology, Topiwala National Medical College and BYL Nair Charitable Hospital, Mumbai, Maharashtra, India.
Department of Gastroenterology, Topiwala National Medical College and BYL Nair Charitable Hospital, Mumbai, Maharashtra, India.
BMJ Case Rep. 2014 Oct 23;2014:bcr2013201386. doi: 10.1136/bcr-2013-201386.
The association between autoimmune thyroid disorders (AITD) and coeliac disease (CD) is well known, however, most of the literature concentrates on hypothyroidism and CD. We report a case of a 37-year-old woman with Graves' disease (GD) who presented with thyrotoxicosis that was not responsive to medical management. The screening for coeliac autoimmunity (CA) was positive. After initiation of a gluten-free diet the patient's thyrotoxicosis responded to medical management. She was given radioiodine therapy and is currently hypothyroid on a stable dose of thyroxine.
自身免疫性甲状腺疾病（AITD）与乳糜泻（CD）之间的关联已为人熟知，然而，大多数文献都集中在甲状腺功能减退症与CD上。我们报告了一例37岁患有格雷夫斯病（GD）的女性病例，该患者出现了对药物治疗无反应的甲状腺毒症。乳糜泻自身免疫（CA）筛查呈阳性。开始无麸质饮食后，患者的甲状腺毒症对药物治疗产生了反应。她接受了放射性碘治疗，目前处于甲状腺功能减退状态，服用稳定剂量的甲状腺素。
