Reddy C M
J Natl Med Assoc. 1979 Dec;71(12):1185-6.
A 10-year-old girl initially presented with clinical features and thyroid function tests consistent with hyperthyroidism. She was treated with propylthiouracil, 100 mg, three times a day. She developed jaundice and hepatitis following treatment with propylthiouracil for 40 days. Clinical features of hepatitis improved after the discontinuation of propylthiouracil and she became euthyroid. At this time, an immunofluorescent technique revealed antibodies consistent with autoimmune thyroiditis. From this report, it appears that hepatitis is one of the infrequent complications of treatment with propylthiouracil and transient hyperthyroidism may be associated with autoimmune thyroiditis.
一名10岁女孩最初表现出与甲状腺功能亢进相符的临床特征及甲状腺功能检查结果。她接受丙硫氧嘧啶治疗,每日3次,每次100毫克。在用丙硫氧嘧啶治疗40天后,她出现了黄疸和肝炎。停用丙硫氧嘧啶后,肝炎的临床症状有所改善,她的甲状腺功能恢复正常。此时,免疫荧光技术显示存在与自身免疫性甲状腺炎相符的抗体。从这份报告来看,肝炎是丙硫氧嘧啶治疗罕见的并发症之一,短暂性甲状腺功能亢进可能与自身免疫性甲状腺炎有关。