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疼痛性、无痛性和产后甲状腺炎。是不同的实体还是仅仅是变体?

Painful, painless, and postpartum thyroiditis. Distinct entities or merely variants?

作者信息

Felicetta J V

机构信息

Veterans Administration Medical Center, Phoenix, AZ 85012.

出版信息

Postgrad Med. 1989 Oct;86(5):269-72, 277. doi: 10.1080/00325481.1989.11704451.

DOI:10.1080/00325481.1989.11704451
PMID:2678067
Abstract

Subacute thyroiditis is a common disease that often goes undetected. Indeed, both painful and painless thyroiditis are easily overlooked or misdiagnosed and perhaps mistreated unless careful attention is paid to the patient's history and physical examination. Treating the hyperthyroidism of subacute thyroiditis as if it were Graves' disease, for example, would be inappropriate, since therapy for the two entities is completely different. A form of painless thyroiditis, for reasons that remain unclear, can occur in the postpartum period and may be related to postpartum psychosis or depression.

摘要

亚急性甲状腺炎是一种常见疾病,常未被察觉。事实上,无论是疼痛性还是无痛性甲状腺炎,若不仔细关注患者病史和体格检查,都很容易被忽视、误诊甚至误治。例如,将亚急性甲状腺炎的甲亢当作格雷夫斯病来治疗是不合适的,因为这两种疾病的治疗方法完全不同。一种无痛性甲状腺炎,原因尚不清楚,可发生在产后,可能与产后精神病或抑郁症有关。

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1
Painful, painless, and postpartum thyroiditis. Distinct entities or merely variants?疼痛性、无痛性和产后甲状腺炎。是不同的实体还是仅仅是变体?
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Recognizing, understanding, and treating postpartum thyroiditis.认识、理解和治疗产后甲状腺炎。
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Subacute thyroiditis.
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引用本文的文献

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A case report of unilateral development of painful thyroiditis used as a hallmark of the nervous nature of its pathogenesis.一例以单侧疼痛性甲状腺炎为特征的病例报告,该病例被用作其发病机制具有神经源性本质的标志。
AME Case Rep. 2024 Nov 13;9:13. doi: 10.21037/acr-24-97. eCollection 2025.
2
Transient psychosis due to painless thyroiditis in a patient with anxiety disorder: a case report.焦虑症患者因无痛性甲状腺炎引发的短暂性精神病:一例报告
J Med Case Rep. 2011 Oct 31;5:534. doi: 10.1186/1752-1947-5-534.
3
Apathetic Graves' disease and acquired hemophilia due to factor VIIIc antibody.
淡漠型格雷夫斯病与因 VIIIc 因子抗体导致的获得性血友病。
J Endocrinol Invest. 2002 Mar;25(3):246-9. doi: 10.1007/BF03343998.