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題名 | Hepatic Failure Resulting From Thyroid Storm With Normal Serum Thyroxine and Triiodothyronine Concentrations=甲狀腺風暴合併肝衰竭表現正常之血清T3和T4濃度 |
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作者姓名(中文) | 郭錦松; 馬文雅; 林怡君; 林宏達; | 書刊名 | Journal of the Chinese Medical Association |
卷期 | 73:1 2010.01[民99.01] |
頁次 | 頁44-46+CA8 |
分類號 | 415.931 |
關鍵詞 | 甲狀腺風暴; 肝衰竭; 甲狀腺機能亢進; Hepatic failure; Hyperthyroidism; Thyroid crisis; |
語文 | 英文(English) |
英文摘要 | A 63-year-old male presented with productive cough, fever, palpitation, shortness of breath, and mental confusion. Fulminant hepatic failure occurred with high aminotransferase and severe jaundice. Thyroid function tests showed thyroid-stimulating hormone level of 0.7 μU/mL (normal range, < 6.2 μU/mL), with normal serum thyroxine and triiodothyronine levels. He died on post-admission day 5. Autopsy revealed diffuse hyperplasia of the thyroid gland, centrilobular necrosis of the liver, and congestion of the gastrointestinal tract, spleen, and adrenal glands. These pathological findings were compatible with decompensated hyperthyroidism. Thyroid storm may present with normal serum triiodothyronine, thyroxine, and hepatic failure. Such presentation is rare. |
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