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非骨髓增殖性全血细胞减少症:甲状腺毒症的一种罕见表现。

Non-myeloproliferative Pancytopenia: A Rare Presentation of Thyrotoxicosis.

作者信息

Rahmathullah Izzathunnisa, Umakanth Maheswaran, Singhapathirane Suranga

机构信息

General Medicine, Teaching Hospital Batticaloa, Batticaloa, LKA.

Clinical Medicine, Eastern University, Sri Lanka, Colombo, LKA.

出版信息

Cureus. 2023 Feb 16;15(2):e35076. doi: 10.7759/cureus.35076. eCollection 2023 Feb.

Abstract

Thyrotoxicosis-induced pancytopenia is a rare manifestation. The practical challenge is to differentiate thyrotoxicosis-induced pancytopenia from the side effects of anti-thyroid treatment following the commencement of treatment. Although some of the possible underlying pathogeneses have been reported, the complete mechanisms remain unclear concerning pancytopenia in uncontrolled thyrotoxicosis. Thyrotoxicosis-induced pancytopenia is completely reversible with the administration of anti-thyroid drugs at an appropriate time and regular follow-up to prevent further recurrence.

摘要

甲状腺毒症所致全血细胞减少是一种罕见的表现。实际面临的挑战是在开始治疗后,将甲状腺毒症所致全血细胞减少与抗甲状腺治疗的副作用区分开来。尽管已经报道了一些可能的潜在发病机制,但关于未控制的甲状腺毒症中全血细胞减少的完整机制仍不清楚。甲状腺毒症所致全血细胞减少在适当时间给予抗甲状腺药物并定期随访以防止进一步复发的情况下是完全可逆的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e6a/10024633/67739d374279/cureus-0015-00000035076-i01.jpg

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