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一名年轻男性中白塞病与格雷夫斯甲状腺毒症的罕见共存:病例报告

A rare coexistence of Behcet's disease and Graves' thyrotoxicosis in a young man: a case report.

作者信息

Joshi Hareesh, Shahriar Imran, Sharma Poonam, Sagi Satyanarayana V, Oyibo Samson O

机构信息

Department of Diabetes and Endocrinology, Peterborough City Hospital, Peterborough, UK.

Department of Rheumatology, Peterborough City Hospital, Peterborough, UK.

出版信息

Oxf Med Case Reports. 2020 Jan 31;2020(1):omz132. doi: 10.1093/omcr/omz132. eCollection 2020 Jan.

Abstract

Behcet's disease is a recurrent systemic vasculitic disorder. It manifests most commonly in the form of skin lesions, oral and genital ulcers and uveitis. Graves' thyrotoxicosis is an autoimmune disorder characterized by excessive production of thyroid hormones. We present a case of a 41-year-old male of Turkish descent who had symptoms of arthralgia, rash, palpitations and weight loss. Bloods tests showed raised inflammatory markers and biochemical evidence of severe autoimmune thyrotoxicosis. The patient was HLA-B51-negative, and pathergy test was inconclusive. A diagnosis of Behcet's disease was made on constellation of clinical symptoms. The patient was treated with carbimazole and prednisolone followed by azathioprine. The coexistence of Behcet's disease and Graves' disease in the same patient is very rare. Further studies are required to determine if there is a pathological association between these two conditions.

摘要

白塞病是一种复发性全身性血管炎性疾病。其最常见的表现形式为皮肤病变、口腔和生殖器溃疡以及葡萄膜炎。格雷夫斯甲状腺毒症是一种自身免疫性疾病,其特征是甲状腺激素过度分泌。我们报告一例41岁土耳其裔男性病例,该患者有关节痛、皮疹、心悸和体重减轻等症状。血液检查显示炎症标志物升高以及严重自身免疫性甲状腺毒症的生化证据。该患者HLA - B51阴性,针刺反应试验结果不明确。根据临床症状群诊断为白塞病。该患者接受了卡比马唑和泼尼松龙治疗,随后使用硫唑嘌呤。同一患者同时存在白塞病和格雷夫斯病的情况非常罕见。需要进一步研究以确定这两种疾病之间是否存在病理关联。

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