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題 名 | 葛瑞夫茲氏病合併缺鐵性貧血--病例報告=Graves' Disease Associated with Iron Deficiency Anemia--A Case Report |
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作 者 | 許黎洲; 蘇景傑; 陳涵栩; 蕭信雲; | 書刊名 | 中華民國內分泌暨糖尿病學會會訊 |
卷 期 | 13:1=50 1999.10[民88.10] |
頁 次 | 頁19-23 |
分類號 | 415.931 |
關鍵詞 | 甲狀腺功能低下症; 甲狀腺功能亢進症; 葛瑞夫茲氏病; 缺鐵性貧血; Hypothyroidism; Hyperthyroidism; Graves' disease; Iron deficiency anemia; |
語 文 | 中文(Chinese) |
中文摘要 | 貧血在甲狀腺功能亢進症(hyperhtyroidism)的病人是罕見的;相反地,在甲狀腺功能低下症(hypothyroidism)的病人卻是常見的。在這些罕見的病例中,較常見的紅血球形態變化是小血球增多症(microcytosis),造成此種變化的真正原因至今仍不清楚。在甲狀機能亢進症的病人中,鐵缺乏(iron deficiency)曾經被認為是常見的,但仔細回顧以前的醫學文獻,支持這種關連性的文章,少之又少。甚至在胃酸缺乏症的病人中,雖然鐵的再吸收減少,卻很少造成臨床上的鐵缺乏症。我們報告一例18歲女性,以頭暈、疲倦、運動性氣促為臨床表徵,依據血液學和甲狀腺功能試驗的檢查結果,診斷為葛瑞夫茲氏病合併缺鐵性貧血,在給予口服鐵劑和調整抗甲狀腺藥物劑量後,臨床症狀改善,二星期後病人返回門診追蹤,血紅素值上升,甲狀腺功能正常。 |
英文摘要 | In contrast to hypothyroidism, anemia is not considered to be a common problem or clinical finding in patients with hyperthyroidism. The most common RBC morphologic abnormality encountered is microcytosis. The cause for this change is unclear. Iron deficiency often is cited as an occasional finding in thyrotoxic state, but a critical review of previous reports suggests that there is little, if any, documentation of the association. Even though achlorhydria is common and may lead to decreased iron absorption, clinical iron deficiency is seldom encountered. We present the case of a 18-year-old women with dizziness, malaise and dyspnea on exertion, Graves' disease associated with iron deficiency anemia was impressed. The diagnosis was confirmed by the hematologic laboratory values and the thyroid function test. Microcytic hypochromic anemia resolve with oral iron therapy and treatment of the thyroid disease. Two weeks later, she returned to our OPD where the hemoglobin level increased and the thyroid function test showed euthyroid. |
本系統中英文摘要資訊取自各篇刊載內容。