端坐呼吸的罕见病因——表现为双侧膈肌麻痹的桥本甲状腺炎。

An unusual cause of orthopnoea-hashimoto's thyroiditis presenting as bilateral diaphragmatic palsy.

作者信息

Thulaseedharan N K, Geetha P, Arathi N, Shameer V K, Jayachandran N V, Subramaniam Gomathy, Narayanan Santhosh

机构信息

Department of Medicine, Govt. Medical College, Kozhikode, Kerala, India.

Department of Radiodiagnosis, Govt. Medical College, Kozhikode, Kerala, India.

出版信息

Respir Med Case Rep. 2017 Apr 21;21:132-134. doi: 10.1016/j.rmcr.2017.04.016. eCollection 2017.

DOI:10.1016/j.rmcr.2017.04.016

PMID:28480162

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5407574/

Abstract

We report a case of 36 yr old male without any comorbidities, who presented with a history of gradually progressive dyspnoea and orthopnoea for 6 months. Physical examination revealed bradycardia, paradoxical respiration suggestive of bilateral diaphragmatic palsy. Fluoroscopy demonstrated the presence of bilateral diaphragmatic paralysis. Etiological work up showed evidence of autoimmune hypothyroidism due to hashimoto's thyroiditis. Other possibilities were ruled out with appropriate tests. He was started on thyroxine and showed symptomatic improvement.

摘要

我们报告一例36岁男性，无任何合并症，有6个月逐渐进展的呼吸困难和端坐呼吸病史。体格检查发现心动过缓、反常呼吸，提示双侧膈肌麻痹。荧光透视显示双侧膈肌麻痹。病因检查显示有桥本甲状腺炎导致的自身免疫性甲状腺功能减退的证据。通过适当检查排除了其他可能性。给他开始使用甲状腺素治疗，症状有所改善。