Department of Endocrine and Metabolic Surgery, Endocare Hospital, Vijayawada, Andhra Pradesh, India.
Endocare Clinic, Berhampur, Odisha, India.
Ann Afr Med. 2021 Oct-Dec;20(4):293-296. doi: 10.4103/aam.aam_64_20.
Taking a photograph of self alone or with a group called selfie, has become modern-day rage with spurt in smartphone technology. It has catapulted from a hobby into psychiatric ailment, especially among teens and young adults. Although it is considered a psychiatric ailment keeping them aloof from social interactions, we observed an inadvertent advantage in this process. In this context, we present some intriguing findings in this study.
This retrospective study was based on compilation of 14 cases from endocrine surgery outpatient cum inpatient database collected over 2 years' period. The inclusion criteria are the chief complaint (CC) was noted only after watching the selfie picture and not otherwise; the CC leads them to consult physician; the picture was captured by oneself or other person who was also part of that image; and the CC leads to definitive diagnosis of thyroid disease requiring treatment. All other clinical, investigative, and treatment (medical and surgical) were studied.
In all, we had 14/5820 (0.0024%) cases meeting the above criteria. CC and later confirmed in pictures were four cases of Grave's disease associated ophthalmopathic exophthalmos, eight cases of goiter, and two cases of facial puffiness (myxedema related). All these CC helped in investigating for the diagnosis of Graves' disease (4), nodular goiter (8), and hypothyroidism (2) confirmed by appropriate investigations. Ten cases underwent thyroidectomy (two of the nodular goiter cases were papillary thyroid cancer) and four cases took conservative medical treatment.
Although selfie is considered a modern-day lifestyle-induced psychiatric illness, it can inadvertently help in picking up thyroid diseases in earlier stages.
独自或与他人合影自拍已成为一种现代时尚，智能手机技术的发展更是助长了这一趋势。自拍从一种爱好变成了精神疾病，尤其是在青少年和年轻人中。尽管自拍被认为是一种使他们远离社交互动的精神疾病，但我们在这个过程中观察到了一个意想不到的好处。在这种情况下，我们在这项研究中提出了一些有趣的发现。
这是一项回顾性研究，基于我们在两年期间从内分泌外科门诊和住院患者数据库中收集的 14 例病例。纳入标准为：仅在观看自拍照片后才出现主要症状（CC）；CC 促使他们咨询医生；照片由自己或其他也是图像一部分的人拍摄；CC 导致需要治疗的甲状腺疾病的明确诊断。所有其他临床、调查和治疗（医学和手术）都进行了研究。
在所有患者中，有 14/5820（0.0024%）例符合上述标准。照片中的 CC 和后来的确诊结果为：四例 Graves 病相关眼病性眼球突出症、八例甲状腺肿和两例面部肿胀（与黏液性水肿相关）。所有这些 CC 都有助于调查 Graves 病（4 例）、结节性甲状腺肿（8 例）和甲状腺功能减退症（2 例）的诊断，这些诊断通过适当的调查得到了证实。十例患者接受了甲状腺切除术（两例结节性甲状腺肿病例为甲状腺乳头状癌），四例患者接受了保守治疗。
尽管自拍被认为是一种现代生活方式引起的精神疾病，但它可以在早期无意中帮助发现甲状腺疾病。
