Modi Anar, Amin Hari, Morgan Farah
Department of Endocrinology, Cooper University Hospital, Camden, New Jersey, USA.
Department of Emergency Medicine, Cooper University Hospital, Camden, New Jersey, USA.
BMJ Case Rep. 2017 Feb 27;2017:bcr2016218459. doi: 10.1136/bcr-2016-218459.
Antithyroid arthritis syndrome is a constellation of symptoms of myalgia, arthralgia, arthritis, fever and rash associated with the use of antithyroid medications. We report a case of a patient with severe hyperthyroidism likely secondary to Graves' disease who presented with the abovementioned symptoms after being treated with methimazole (antithyroid medication). Our aim is to increase awareness regarding this uncommon but disabilitating and life-threatening adverse effect of antithyroid medications among clinicians. We also discuss the proposed pathophysiology for this immunological reaction as well as management options in these patients.
抗甲状腺药物性关节炎综合征是一组与使用抗甲状腺药物相关的症状,包括肌痛、关节痛、关节炎、发热和皮疹。我们报告一例可能继发于格雷夫斯病的严重甲状腺功能亢进患者,在用甲巯咪唑(抗甲状腺药物)治疗后出现上述症状。我们的目的是提高临床医生对这种抗甲状腺药物罕见但致残且危及生命的不良反应的认识。我们还讨论了这种免疫反应的拟议病理生理学以及这些患者的管理选择。