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自身免疫性甲状腺疾病合并神经精神综合征患者皮质类固醇剂量调节的挑战:一篇连续评论

Challenges in corticosteroid dose regulation in a patient with autoimmune thyroid disease and neuropsychiatric syndrome: A running commentary.

作者信息

Bidaki Reza, Saghafi Fatemeh, Ahrari Samira, Aghamollaii Vajiheh, Rahmani Mojde, Asadi Ahdie

机构信息

Research Center of Addiction and Behavioral Sciences Shahid Sadoughi University of Medical Sciences Yazd Iran.

Diabetes Research Center Shahid Sadoughi University of Medical Sciences Yazd Iran.

出版信息

Clin Case Rep. 2021 Dec 26;9(12):e05081. doi: 10.1002/ccr3.5081. eCollection 2021 Dec.

Abstract

In the following, we report a therapeutic challenge faced by reduction in corticosteroid therapeutic dosage in a patient diagnosed with Hashimoto's encephalopathy (HE), which is equivalent to corticosteroid-responsive encephalopathy related to autoimmune thyroiditis and often misdiagnosed as neuropsychiatric status. The patient developed psychiatric symptoms.

摘要

在下文中,我们报告了一名被诊断为桥本脑病(HE)的患者在减少皮质类固醇治疗剂量时面临的治疗挑战,桥本脑病等同于与自身免疫性甲状腺炎相关的皮质类固醇反应性脑病,常被误诊为神经精神状态。该患者出现了精神症状。

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本文引用的文献

1
Status epilepticus in Hashimoto's encephalopathy.桥本脑病伴发癫痫持续状态。
Seizure. 2019 Aug;70:1-5. doi: 10.1016/j.seizure.2019.06.020. Epub 2019 Jun 13.
5
Hashimoto encephalopathy: literature review.桥本脑病:文献综述
Acta Neurol Scand. 2017 Mar;135(3):285-290. doi: 10.1111/ane.12618. Epub 2016 Jun 20.
9
Hashimoto encephalopathy: syndrome or myth?桥本脑病:综合征还是虚构之事?
Arch Neurol. 2003 Feb;60(2):164-71. doi: 10.1001/archneur.60.2.164.

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