Apsan Jennifer, Antal Zoltan
Department of Pediatrics, Division of Endocrinology Weill Cornell Medicine, New York Presbyterian Hospital, New York, NY, USA.
Case Rep Endocrinol. 2021 Nov 23;2021:5930515. doi: 10.1155/2021/5930515. eCollection 2021.
. Jod-Basedow Syndrome refers to a paradoxical phenomenon in which large loads of iodine can cause hyperthyroidism. It is most commonly seen in populations already at risk for thyroid disease or those with underlying kidney disease. . We present a case of an acutely ill 17-year-old boy with symptomatic hyperthyroidism following an iodinated contrast CT scan to rule out appendicitis. . This case underscores the importance of recognizing this phenomenon even in the pediatric population and in those with no preexisting history of thyroid disease. Course complications including bronchospasm, hypertension, transaminitis, and bilateral palmar desquamating rash are rare and highlight the complexities involved in the disease state and in managing side effect profiles of treatment.
碘致甲亢综合征是指大量碘可引发甲状腺功能亢进的一种矛盾现象。它最常见于已有甲状腺疾病风险的人群或患有基础肾脏疾病的人群。我们报告一例17岁急性病男孩的病例，该男孩在进行碘造影CT扫描以排除阑尾炎后出现有症状的甲状腺功能亢进。该病例强调了即使在儿科人群以及既往无甲状腺疾病史的人群中认识到这一现象的重要性。包括支气管痉挛、高血压、转氨酶升高和双侧手掌脱皮性皮疹在内的病程并发症很少见，突出了疾病状态以及治疗副作用管理方面所涉及的复杂性。
