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題 名 | 冷漠性甲狀腺機能亢進病例報告=A Case Report of Apathetic Hyperthyroidism |
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作 者 | 林建輝; 蔡悅琪; | 書刊名 | 臺灣家庭醫學雜誌 |
卷 期 | 10:3 2000.09[民89.09] |
頁 次 | 頁162-171 |
分類號 | 415.931 |
關鍵詞 | 冷漠性甲狀腺機能亢進; 甲狀腺毒症; 主訴自覺全身多汗; 格雷氏症; Generalized hyperhidrosis; Thyrotoxicosis; Graves' disease; Apathetic hyperthyroidism; |
語 文 | 中文(Chinese) |
中文摘要 | 甲狀腺毒症(thyrotoxicosis)是一種常見之內分泌疾患,臨床上可由甲狀腺功能過高確立診斷;其實每個病人的臨床表徵都不儘相同,症狀和徵象的嚴重度及發生頻率也不一樣,使得要從臨床表徵來診斷甲狀腺毒症,不一定很容易。有極少數的甲狀腺毒症病人的臨床表徵甚至只有心房顫動及心臟衰竭,是屬於冷漠、隱藏性的(apathetic、masked)。本病例是一位二十一歲年輕女性,臨床上只有主訴自覺全身多汗(eneralized hyperhidrosi),並無其他常見的甲狀腺毒症的臨床表徵,經抽血檢查卻檢實為格雷氏症(Graves’ disease),是屬於一種冷漠性的甲狀腺機能亢進(apathetic hyperthyroidism)。本文的乃是希望基層醫師能多了解甲狀腺毒症的臨床表徵,在診療過程中,對這種以非典型的甲狀腺毒症臨床表徵的病人能提高警覺,細心評估,使甲狀腺機能亢進得以早期診斷早期治療。 |
英文摘要 | Thyrotoxicosis is a common endocrinoloigcal disease that can be clinically diagnosed by levated levels of thyroid function test. In general practices, each patient’s clinical manifestations are quite different from others and his/her manifestations’ severity and frequency differ significantly as well. That makes diagnosing thyrotoxicosis from clinical manifestations very difficult. Some patients diagnosed with thyrotoxicosis only have signs of atrial fibrillation and heart failure, which we described as apathetic or masked cases, although such cases are rare and most of the patients are senior ones. The case we discussed here was a 21-year-old young female patient, who complained only having symptoms of generalized hyperhidrosis and showed no established common thyrotoxicosis signs. Proven by abnormal thyroid function test, she was diagnosed as a case of Graves’ disease and apathetic hyperthyroidism. The main purpose of this rare case report is to remind our primary care physicians of the clinical manifestations of thyrotoxicosis, and keeping the atypical hyperthyroidism. The main purpose of this rare case report is to remind our primary care physicians of the clinical manifestations of thyrotoxicosis, and keeping the atypical thyrotoxicosis in mind to make early diagnosis and early treatment. |
本系統中英文摘要資訊取自各篇刊載內容。