Kuboki T, Suematsu H, Ogata E, Yamamoto M, Shizume K
Endocrinol Jpn. 1987 Feb;34(1):9-12. doi: 10.1507/endocrj1954.34.9.
In this report on two cases of anorexia nervosa associated with Graves' disease, metabolism and the relationship between the two illness are considered. Case 1 was a 25-year-old female. Anorexia was associated with a stressful life situation following marriage. One year after the onset of anorexia, her condition was diagnosed as Graves' disease. In spite of high levels of serum thyroid hormone, she did not show the clinical signs and symptoms of hyperthyroidism. The hypermetabolic state of Graves' disease seems to be suppressed by the hypometabolism of anorexia. Case 2 was a 17-year-old female whose body weight, due to anorexia, at one time had decreased from 55 kg to 35.2 kg. A rebound from anorexia to bulimia increased her body weight to 80 kg in spite of an association with the hypermetabolic state of Graves' disease. In light of the abovementioned cases, it seems that the clinical picture of Graves' disease is usually hidden by the clinical symptoms of anorexia nervosa.
在这份关于两例神经性厌食症合并格雷夫斯病的报告中，我们探讨了新陈代谢以及这两种疾病之间的关系。病例1是一名25岁女性。厌食与婚后紧张的生活状况有关。厌食症发病一年后，她的病情被诊断为格雷夫斯病。尽管血清甲状腺激素水平很高，但她并未表现出甲状腺功能亢进的临床体征和症状。格雷夫斯病的高代谢状态似乎被厌食症的低代谢所抑制。病例2是一名17岁女性，由于厌食，她的体重一度从55公斤降至35.2公斤。尽管与格雷夫斯病的高代谢状态有关，但从厌食症反弹到贪食症使她的体重增加到了80公斤。鉴于上述病例，格雷夫斯病的临床表现似乎通常被神经性厌食症的临床症状所掩盖。
