放射性碘治疗格雷夫斯病合并胸骨后甲状腺肿伴发乳糜胸
Chylothorax Associated with Substernal Goiter in Graves' Disease Treated with Radioactive Iodine.
作者信息
Young Oh Seo, Hyun Kim Bo, Young Kim Do, Min Lee Kyu, Jin Lee Min, Su Kim Sung, Ho Kim Jong, Kyung Jeon Yun, Soo Kim Sang, Ki Kim Yong, Joo Kim In
机构信息
M.D., Department of Internal Medicine, School of Medicine, Pusan National University, 179 Gudeok-Ro, Seo-Gu, Busan 602-739, South Korea.
M.D., Ph.D., Department of Internal Medicine, Medical Research Institute, School of Medicine, Pusan National University, 179 Gudeok-Ro, Seo-Gu, Busan 602-739, South Korea.
出版信息
Int J Endocrinol Metab. 2017 Jan 7;15(2):e41787. doi: 10.5812/ijem.41787. eCollection 2017 Apr.
INTRODUCTION
We present a rare case of chylothorax associated with an intrathoracic goiter in Graves' disease that was treated with radioactive iodine.
CASE REPORT
A 23-year-old woman with Graves' disease was referred to our clinic with a pleural effusion, dyspnea, characteristic bilateral proptosis, and a diffuse goiter. The pleural fluid biochemistry was consistent with chylothorax. However, the chylothorax did not decrease with conservative therapy. Therefore, RAI was administered. Subsequently, the chylothorax and goiter improved more quickly than expected.
CONCLUSIONS
This case illustrates that chylothorax associated with a substernal goiter in Graves' disease can be treated successfully with radioactive iodine instead of surgery.
引言
我们报告一例罕见的格雷夫斯病合并胸内甲状腺肿并伴有乳糜胸的病例，该病例采用放射性碘进行治疗。
病例报告
一名患有格雷夫斯病的23岁女性因胸腔积液、呼吸困难、典型的双侧突眼以及弥漫性甲状腺肿被转诊至我们的诊所。胸腔积液的生化检查结果与乳糜胸相符。然而，保守治疗后乳糜胸并未减轻。因此，给予放射性碘治疗。随后，乳糜胸和甲状腺肿的改善速度比预期更快。
结论
该病例表明，格雷夫斯病合并胸骨后甲状腺肿并伴有乳糜胸可通过放射性碘而非手术成功治疗。
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