Canivet B, Greisson G, Freychet P
Sem Hop. 1982 Jun 24;58(25):1579-80.
Two cases of hyperthyroidism with hepatic manifestations are reported. In both the clinical picture was misleading. In one case, hyperthyroidism was responsible for liver involvement. Hépatic manifestations of hyperthyroidism are both polymorphic and non-specific. Diagnosis should be considered only after outruling other possibilities. In the other case, cholestatic hepatitis developed independantly from hyperthyroidism. The resulting clinical picture was confusing. All patients should be checked for non-thyrotoxic liver disease which may be of prognostic and therapeutic significance.
报告了两例伴有肝脏表现的甲状腺功能亢进症。两例的临床表现都具有误导性。其中一例,甲状腺功能亢进症导致肝脏受累。甲状腺功能亢进症的肝脏表现具有多形性且不具特异性。只有在排除其他可能性后才应考虑诊断。另一例中,胆汁淤积性肝炎独立于甲状腺功能亢进症发生。由此产生的临床表现令人困惑。所有患者都应检查是否患有非甲状腺毒性肝病,这可能具有预后和治疗意义。