以严重产后瘙痒为表现的格雷夫斯病。
Graves' disease presenting as severe postpartum pruritus.
作者信息
Carpenter Rachel Marinch, Wongward Jessica
机构信息
Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Family Medicine, Saint Joseph Hospital Family Medicine Residency, Denver, Colorado, USA.
出版信息
BMJ Case Rep. 2018 Jun 15;2018:bcr-2018-225347. doi: 10.1136/bcr-2018-225347.
Abstract
A 39-year-old multigravida woman presented 3 weeks postpartum with worsening generalised pruritus without primary rash. Workup was significant for cholestasis and undiagnosed Graves' disease. She began to have symptomatic relief after starting methimazole, and liver function tests normalised as she became euthyroid.
摘要
一名39岁的经产妇在产后3周出现全身瘙痒加重，但无原发性皮疹。检查发现有胆汁淤积和未确诊的格雷夫斯病。开始服用甲巯咪唑后她的症状开始缓解，随着甲状腺功能恢复正常，肝功能检查也恢复正常。
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本文引用的文献
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Rescue of Graves Thyrotoxicosis-Induced Cholestatic Liver Disease Without Antithyroid Drugs: A Case Report.未使用抗甲状腺药物救治格雷夫斯甲状腺毒症所致胆汁淤积性肝病：一例报告
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Neonatal Cholestasis Caused by Undiagnosed Maternal Graves' Disease.未诊断出的母体格雷夫斯病导致的新生儿胆汁淤积症。
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Risk factors of hyperthyroidism with hepatic function injury: a 4-year retrospective study.甲状腺功能亢进合并肝功能损伤的危险因素：一项4年回顾性研究。
Horm Metab Res. 2015 Mar;47(3):209-13. doi: 10.1055/s-0034-1375690. Epub 2014 May 27.
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