生物素诱导的生物化学甲状腺功能障碍:一个病例报告和文献综述
Archa James1, Jinu Stalan2, Jose Kuzhively3
1Government Medical College, Kerala University of Health Sciences (KUHS), Thiruvananthapuram, India. archajames@gmail.com.
Journal of medical case reports
|June 27, 2023
概括
高剂量的生物素补充剂可以干扰甲状腺实验室测试,模仿甲状腺功能障碍. 停止生物素治疗可以快速解决这些异常的甲状腺结果,防止误诊.
科学领域:
- 内分泌学 在内分泌学.
- 临床化学 临床化学
背景情况:
- 生物素是头发,皮肤和指甲健康的受欢迎补充剂.
- 高剂量的生物素摄入量可能会干扰生物素/斯特雷普塔维丁免疫试验,这种现象被称为生物素干扰.
- 这种干扰可能导致甲状腺功能测试结果不准确,可能表明生化甲状腺功能过高.
研究的目的:
- 报告一种生物素干扰甲状腺功能测试的情况.
- 要强调考虑在没有解释的甲状腺异常的患者中补充生物素的重要性.
主要方法:
- 一名64岁的患有多发性硬化症的男性,实验室发现表明他患有甲状腺功能障碍 (自由T3升高,自由T4低,低TSH).
- 患者最初接受了抗甲状腺药物治疗,但没有改善.
- 调查显示,高剂量的生物素 (10,000毫克/天) 补充剂用于多发性硬化症.
主要成果:
- 患者的甲状腺功能测试在停止生物素治疗后的五天内恢复正常.
- 这一案例表明,生物素干扰可以导致错误的甲状腺激素水平升高.
结论:
- 缺乏对生物素补充剂的认识可能导致误诊和不适当的治疗甲状腺疾病.
- 临床医生和公众必须接受有关生物干扰的教育,以确保准确的甲状腺功能测试.
- 立即停止生物素可以防止误诊,并确保适当的患者管理.
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