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黏液性水肿性腹水:未控制的甲状腺功能减退症的一种罕见表现。

Myxedema Ascites: A Rare Presentation of Uncontrolled Hypothyroidism.

作者信息

Khalid Sameen, Asad-Ur-Rahman Fnu, Abbass Aamer, Gordon Dwayne, Abusaada Khalid

机构信息

Internal Medicine Residency, Florida Hospital-Orlando.

Graduate Medical Education, Florida Hospital-Orlando.

出版信息

Cureus. 2016 Dec 5;8(12):e912. doi: 10.7759/cureus.912.

DOI:10.7759/cureus.912
PMID:28083456
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5215814/
Abstract

Less than four percent of patients with hypothyroidism develop ascites. Ascites as the presenting feature of hypothyroidism is uncommon, hence diagnosis is often delayed. Once it is diagnosed, treatment of hypothyroidism leads to quick clinical improvement in ascites. We report a case of a female patient who presented with ascites secondary to severe hypothyroidism and discuss the diagnostic characteristics of the ascitic fluid in myxedema ascites on the basis of literature review.

摘要

甲状腺功能减退症患者中腹水发生率不到4%。以腹水为甲状腺功能减退症首发表现的情况并不常见,因此诊断往往延迟。一旦确诊,甲状腺功能减退症的治疗可使腹水迅速得到临床改善。我们报告一例因严重甲状腺功能减退症继发腹水的女性患者,并在文献复习的基础上讨论黏液性水肿性腹水的腹水诊断特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47fb/5215814/e7ad9bd44e24/cureus-0008-00000000912-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47fb/5215814/e7ad9bd44e24/cureus-0008-00000000912-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47fb/5215814/e7ad9bd44e24/cureus-0008-00000000912-i01.jpg

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Very early onset of autoimmune thyroiditis in a toddler with severe hypothyroidism presentation: a case report.一名患有严重甲状腺功能减退症的幼儿极早期发生自身免疫性甲状腺炎:病例报告
Ital J Pediatr. 2016 Jun 18;42(1):61. doi: 10.1186/s13052-016-0270-7.
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A male person of 55 years with hypothyroidism, ascites and heart failure.
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Subclinical hypothyroidism unmasked by preeclampsia and ascites.子痫前期和腹水掩盖下的亚临床甲状腺功能减退症。
Indian J Endocrinol Metab. 2013 Oct;17(Suppl 1):S173-5. doi: 10.4103/2230-8210.119562.
甲状腺功能减退与严重蛋白尿的恶性循环:一例报告
Cureus. 2022 Sep 1;14(9):e28674. doi: 10.7759/cureus.28674. eCollection 2022 Sep.
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Hypothyroidism Manifesting as a Combination of Ascites and Malnutrition Requiring Total Parenteral Nutrition: A Unique Presentation.表现为腹水与营养不良并存且需全胃肠外营养的甲状腺功能减退症:一种独特的表现形式。
Cureus. 2019 Aug 7;11(8):e5338. doi: 10.7759/cureus.5338.
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Myxedema Ascites: An Unusual Presentation of Uncontrolled Hypothyroidism.黏液性水肿腹水:未控制的甲状腺功能减退症的一种不寻常表现。
Cureus. 2018 May 14;10(5):e2627. doi: 10.7759/cureus.2627.
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Myxedema ascites with high CA-125: Case and a review of literature.伴有高CA-125的黏液性水肿腹水:病例及文献复习
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Endocr J. 2007 Dec;54(5):751-5. doi: 10.1507/endocrj.k06-139. Epub 2007 Sep 14.
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Am J Med Sci. 2007 Jan;333(1):48-52. doi: 10.1097/00000441-200701000-00006.
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9
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