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范·怀克和格鲁巴赫综合征:甲状腺功能减退症的一种罕见表现。

Van Wyk and Grumbach Syndrome: An Unusual Presentation of Hypothyroism.

作者信息

Chanda P K, Kamrul-Hasan M, Abu-Bakar M, Rahman M, Kader M A, Hossain M A, Siddiqui N I

机构信息

Dr Palash Kumar Chanda, DEM Student, Department of Endocrinology, Mymensingh Medical College Hospital (MMCH), Mymensingh, Bangladesh.

出版信息

Mymensingh Med J. 2017 Jul;26(3):667-670.

Abstract

An 18 years-old-girl presented one and half years back with the complaints of short stature, retarded growth, and menorrhagia with sudden severe lower abdominal pain; was diagnosed as bilateral ovarian cysts and underwent bilateral ovarian cystectomy. Later on she was incidentally diagnosed as a case of hypothyroidism when she had been experiencing slowly enlarging left lower abdominal mass with dull ache for the 5 month and then was transferred to the department of Endocrinology for further evaluation. Detailed work up revealed her short stature with obesity, delayed bone age and other features of hypothyroidism which was confirmed by thyroid function testing. She had enlarged left ovary with multiple follicles as shown in ultrasonography. Magnetic resonance imaging (MRI) showed sellar mass which was suspicious of macroadenoma. Levothyroxine replacement was started and she had a dramatic improvement of her problems with disappearance of the ovarian cysts and sellar mass.

摘要

一名18岁女孩于一年半前就诊,主诉身材矮小、生长发育迟缓、月经过多并伴有突发严重下腹痛;被诊断为双侧卵巢囊肿并接受了双侧卵巢囊肿切除术。后来,当她经历左下腹缓慢增大的肿块并伴有隐痛5个月时,偶然被诊断为甲状腺功能减退症,随后被转至内分泌科进行进一步评估。详细检查发现她身材矮小且肥胖、骨龄延迟以及甲状腺功能减退的其他特征,甲状腺功能检测证实了这一点。超声检查显示她左侧卵巢增大,有多个卵泡。磁共振成像(MRI)显示蝶鞍区肿块,怀疑为大腺瘤。开始使用左甲状腺素替代治疗后,她的问题得到了显著改善,卵巢囊肿和蝶鞍区肿块消失。

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