Allard J C, Lee V W, Franklin P
Department of Radiology, Boston University School of Medicine, Boston City Hospital, Massachusetts.
Clin Nucl Med. 1988 Sep;13(9):663-6. doi: 10.1097/00003072-198809000-00013.
A patient with hyperthyroid Graves' disease presented with ptosis, leading to a workup for myasthenia gravis. An enlarged thymus gland was noted on computed tomography. A scan with gallium-67 citrate showed prominent and diffuse thyroid gland activity as well as prominent lacrimal activity. This finding of thyroid uptake of gallium led to the correct diagnosis of Graves' disease. Such a finding has not been reported previously. The associated thymic, thyroid, and orbital findings in Graves' disease are discussed.
一名患有甲状腺功能亢进型格雷夫斯病的患者出现上睑下垂,因此对其进行了重症肌无力的检查。计算机断层扫描显示胸腺肿大。枸橼酸镓扫描显示甲状腺有显著且弥漫性的活性,泪腺也有显著活性。甲状腺摄取镓的这一发现导致了格雷夫斯病的正确诊断。此前尚未有这样的发现报道。文中讨论了格雷夫斯病相关的胸腺、甲状腺及眼眶表现。