一例未经治疗的慢性甲状腺肿性自身免疫性甲状腺炎，其代谢水平在不同状态间自发波动。

A case of untreated chronic goitrous autoimmune thyroiditis with spontaneous fluctuation between different metabolic levels.

作者信息

Solem J H, Svaar H

出版信息

Acta Endocrinol (Copenh). 1984 Jan;105(1):24-7. doi: 10.1530/acta.0.1050024.

DOI:10.1530/acta.0.1050024

Abstract

Documented thyrotoxicosis developed in a 12 year old girl with chronic autoimmune thyroiditis. During the following 3 years there was a spontaneous progression from hyperthyroidism to hypothyroidism and vice versa fluctuating from one metabolic state to another. The diagnosis of Hashimoto's thyroiditis was based upon thyroid function tests, elevated titres of antibodies against thyroid constituents, and upon thin-needle biopsy of the enlarged thyroid gland.

摘要

一名患有慢性自身免疫性甲状腺炎的12岁女孩出现了有记录的甲状腺毒症。在接下来的3年里，病情自发地从甲状腺功能亢进发展为甲状腺功能减退，反之亦然，在两种代谢状态之间波动。桥本甲状腺炎的诊断基于甲状腺功能测试、针对甲状腺成分的抗体滴度升高以及对肿大甲状腺的细针活检。