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一名未确诊潜在格雷夫斯病患者的绞窄性甲状腺毒症

Strangulation-Induced Thyrotoxicosis in a Patient with Undiagnosed Underlying Graves' Disease.

作者信息

Lanham Theresa, Sullivan Abigayle, Lanham Erik, Donato Anthony

机构信息

Reading Hospital, Wyomissing, USA.

Jefferson Health, Philadelphia, USA.

出版信息

Case Rep Endocrinol. 2020 Mar 19;2020:7986581. doi: 10.1155/2020/7986581. eCollection 2020.

DOI:10.1155/2020/7986581
PMID:32257463
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7106904/
Abstract

Thyrotoxicosis is a constellation of symptoms including palpitations, tremors, agitation, and heat intolerance, caused by excess thyroid hormone. It can be life-threatening in its most serious form. We present a rare case of thyrotoxicosis provoked by mechanical trauma to the neck via strangulation in a young female with a history of self-resolving postpartum symptoms of hyperthyroidism one year prior, but no formal diagnosis of thyroid dysfunction. Although hyperthyroidism and posttraumatic stress have many similar features, thyroid storm is a life-threatening disorder that needs immediate intervention.

摘要

甲状腺毒症是一组由甲状腺激素过多引起的症状,包括心悸、震颤、烦躁和不耐热。其最严重的形式可能危及生命。我们报告了一例罕见的甲状腺毒症病例,该病例发生在一名年轻女性身上,她一年前曾有过自行缓解的产后甲亢症状,但未被正式诊断为甲状腺功能障碍,此次因颈部受勒颈机械性创伤引发甲状腺毒症。尽管甲亢和创伤后应激有许多相似特征,但甲状腺危象是一种需要立即干预的危及生命的疾病。

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引用本文的文献

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Acute Thyroiditis in a Patient with Neck Trauma.颈部创伤患者的急性甲状腺炎
Case Rep Psychiatry. 2022 Dec 5;2022:6126254. doi: 10.1155/2022/6126254. eCollection 2022.

本文引用的文献

1
Thyroid Storm Triggered by Strangulation in a Patient with Undiagnosed Graves' Disease.未确诊的格雷夫斯病患者因勒颈引发甲状腺风暴
Case Rep Endocrinol. 2018 Jan 2;2018:4190629. doi: 10.1155/2018/4190629. eCollection 2018.
2
Factors Associated With Mortality of Thyroid Storm: Analysis Using a National Inpatient Database in Japan.与甲状腺危象死亡率相关的因素:使用日本全国住院患者数据库进行的分析
Medicine (Baltimore). 2016 Feb;95(7):e2848. doi: 10.1097/MD.0000000000002848.
3
Clinical features and hospital outcomes in thyroid storm: a retrospective cohort study.甲状腺危象的临床特征与住院结局:一项回顾性队列研究
J Clin Endocrinol Metab. 2015 Feb;100(2):451-9. doi: 10.1210/jc.2014-2850. Epub 2014 Oct 24.
4
Stress triggers the onset and the recurrences of hyperthyroidism in patients with Graves' disease.压力会引发格雷夫斯病患者甲状腺功能亢进的发作和复发。
Endocrine. 2015 Feb;48(1):254-63. doi: 10.1007/s12020-014-0289-8. Epub 2014 May 23.
5
Hyperthyroidism and cardiovascular complications: a narrative review on the basis of pathophysiology.甲状腺功能亢进症与心血管并发症:基于病理生理学的叙述性综述。
Arch Med Sci. 2013 Oct 31;9(5):944-52. doi: 10.5114/aoms.2013.38685. Epub 2013 Nov 5.
6
Endocrine and metabolic emergencies: thyroid storm.内分泌和代谢急症:甲状腺危象。
Ther Adv Endocrinol Metab. 2010 Jun;1(3):139-45. doi: 10.1177/2042018810382481.
7
Diagnostic criteria, clinical features, and incidence of thyroid storm based on nationwide surveys.基于全国性调查的甲状腺危象的诊断标准、临床特征和发生率。
Thyroid. 2012 Jul;22(7):661-79. doi: 10.1089/thy.2011.0334. Epub 2012 Jun 12.
8
Involvement of stress in the pathogenesis of autoimmune thyroid disease: a prospective study.应激在自身免疫性甲状腺疾病发病机制中的作用:一项前瞻性研究。
Psychoneuroendocrinology. 2012 Aug;37(8):1191-8. doi: 10.1016/j.psyneuen.2011.12.009. Epub 2012 Jan 5.
9
The role of stress in the clinical expression of thyroid autoimmunity.应激在甲状腺自身免疫临床表型中的作用。
Ann N Y Acad Sci. 2006 Nov;1088:382-95. doi: 10.1196/annals.1366.015.
10
Stress and thyroid autoimmunity.压力与甲状腺自身免疫
Thyroid. 2004 Dec;14(12):1047-55. doi: 10.1089/thy.2004.14.1047.