Siegler R W
Department of Pathology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
J Forensic Sci. 1998 Nov;43(6):1237-40.
Heatstroke represents the most severe form of the heat-related illnesses. Potentially fatal, heatstroke most often affects the elderly, obese, or chronically ill. Thyroid disease, which may interfere with the normal regulation of body temperature, has not previously been reported in cases of heatstroke. A fatal case is reported in a young woman discovered unconscious in a sauna who was found to have preexisting Hashimoto's thyroiditis on subsequent autopsy. The diagnosis of hypothyroidism in heatstroke rests on clinical information and morphologic observations. This case underscores the importance of evaluating the thyroid in unusual cases of heatstroke.
中暑是与热相关疾病中最严重的形式。中暑有潜在致命性，最常影响老年人、肥胖者或慢性病患者。甲状腺疾病可能会干扰体温的正常调节，此前中暑病例中尚未有相关报道。本文报告了一例致命病例，一名年轻女性在桑拿房被发现昏迷，尸检发现其先前就患有桥本甲状腺炎。中暑时甲状腺功能减退的诊断基于临床信息和形态学观察。该病例强调了在不寻常的中暑病例中评估甲状腺的重要性。
