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甲状腺毒症后发生溃疡性结肠炎:一例病例报告及文献复习

Onset of ulcerative colitis after thyrotoxicosis: a case report and review of the literature.

作者信息

Laterza L, Piscaglia A C, Lecce S, Gasbarrini A, Stefanelli M L

机构信息

Department of Internal Medicine, Gastroenterology and Liver Disease, Catholic University of the Sacred Heart of Rome, Rome, Italy.

出版信息

Eur Rev Med Pharmacol Sci. 2016;20(4):685-8.

Abstract

OBJECTIVE

Ulcerative colitis is a chronic disease that could be triggered by acute stressful events, such as gastrointestinal infections or emotional stress.

PATIENTS AND METHODS

We reported the case of the onset of an ulcerative colitis after a thyrotoxicosis crisis and reviewed the literature about the relationships between thyroid dysfunctions and ulcerative colitis.

RESULTS

A 38-year-old woman was diagnosed with ulcerative colitis after her third thyrotoxicosis crisis, two years after the diagnosis of Graves' disease. In this case, thyrotoxicosis acted as a trigger for ulcerative colitis onset.

CONCLUSIONS

Hyperthyroidism could be a trigger able to elicit ulcerative colitis in susceptible patients.

摘要

目的

溃疡性结肠炎是一种慢性疾病,可由急性应激事件引发,如胃肠道感染或情绪压力。

患者与方法

我们报告了一例甲状腺毒症危象后发生溃疡性结肠炎的病例,并回顾了有关甲状腺功能障碍与溃疡性结肠炎之间关系的文献。

结果

一名38岁女性在被诊断为格雷夫斯病两年后,第三次甲状腺毒症危象后被诊断为溃疡性结肠炎。在该病例中,甲状腺毒症是溃疡性结肠炎发病的诱因。

结论

甲状腺功能亢进可能是诱发易感患者溃疡性结肠炎的一个诱因。

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