MacFadyen U, O'Malley B P, Swift P G
Arch Dis Child. 1985 Sep;60(9):870-2. doi: 10.1136/adc.60.9.870.
A 3 year old girl presented with a three week history of lethargy, constipation, and joint swelling. Investigation showed primary hypothyroidism associated with immunological changes including thyroglobulin antibodies. Reassessment several months after beginning thyroxine treatment confirmed persisting hypothyroidism. Primary hypothyroidism may present as a rapid onset disorder.
一名3岁女孩出现了为期三周的乏力、便秘和关节肿胀症状。检查显示原发性甲状腺功能减退症,并伴有包括甲状腺球蛋白抗体在内的免疫变化。开始甲状腺素治疗几个月后的重新评估证实甲状腺功能减退症持续存在。原发性甲状腺功能减退症可能表现为一种急性起病的疾病。