Vento J A, Slavin J D, Reardon G E, Spencer R P
Clin Nucl Med. 1986 Jun;11(6):404-6.
A 52-year-old man presented with left exophthalmos. A thyroid scan showed a right lobe hot nodule with suppression of the remainder of the gland. Thyroid function tests were normal. In less than two years, the patient had worsening of the exophthalmos. Thyroid indices then revealed hyperthyroidism and the thyroid image had markedly altered (with evidence of diffuse function). This change, initially showing a hot nodule and then diffuse thyroid overactivity, has been reported previously in three cases (all women). Characteristics of the disorder in these four individuals were reviewed. It is possible that the patients had two distinct diseases, separated temporally.
一名52岁男性出现左眼球突出。甲状腺扫描显示右叶热结节，其余甲状腺组织受抑制。甲状腺功能检查正常。不到两年，患者眼球突出加重。甲状腺指标随后显示甲状腺功能亢进，甲状腺影像明显改变（有弥漫性功能的证据）。这种最初表现为热结节，随后出现弥漫性甲状腺功能亢进的变化，此前已有3例报道（均为女性）。对这4例患者疾病的特征进行了回顾。这些患者有可能患有两种在时间上分离的不同疾病。
