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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.

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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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

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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.
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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.

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