Dawson L, Schaar C G, de Meijer P H, Meinders A E
Leids Universitair Medisch Centrum, afd. Algemene Interne Geneeskunde, Leiden.
Ned Tijdschr Geneeskd. 1998 Aug 8;142(32):1826-9.
A women aged 36 with a positive family anamnesis for autoimmune endocrine diseases and a history of thyroid diseases, developed major complaints of general malaise, orthostatic hypotension and loss of appetite after the start of a treatment with levothyroxin because of (sub)clinical hypothyroidism. She was found to suffer from primary adrenocortical insufficiency masked by excessive use of liquorice and a lowered metabolism, but which via the suppletion with thyroid hormone had led to an addisonian crisis.
一名36岁女性,有自身免疫性内分泌疾病家族史且有甲状腺疾病史,因(亚)临床甲状腺功能减退开始使用左甲状腺素治疗后,出现全身不适、体位性低血压和食欲不振等主要症状。结果发现她患有原发性肾上腺皮质功能不全,此前因过量食用甘草和代谢降低而被掩盖,但补充甲状腺激素后引发了艾迪生病危象。