产后甲状腺炎模仿中央甲状腺功能低下症:完美的甲状腺发育
James R Kang1,2, Rachel Cox3, Joseph Kluesner4
1Internal Medicine, Wright State University Boonshoft School of Medicine, Dayton, USA.
Cureus
|August 30, 2023
概括
产后甲状腺炎是一种自身免疫性疾病,可以导致新生母亲的甲状腺功能低下症. 诊断需要彻底的内分泌评估,即使症状很小,就像在一个最初暗示中央甲状腺功能低下的病例中看到的那样.
科学领域:
- 内分泌学 在内分泌学.
- 免疫学 免疫学 免疫学
- 生殖医学 生殖医学
背景情况:
- 产后甲状腺功能低下症可能源于主要或中心原因.
- 产后甲状腺炎是一种自身免疫性疾病,会损害甲状腺.
- 早期诊断对于管理产后甲状腺功能障碍至关重要.
研究的目的:
- 为了突出产后甲状腺炎的诊断挑战.
- 介绍一个最初被评估为中央甲状腺功能低下症的病例.
- 强调内分泌工作在产后甲状腺功能障碍中的重要性.
主要方法:
- 一个24岁的产后女性的案例报告.
- 关于发现的初步内分泌评估.
- 产后甲状腺炎的诊断通过全面的检查得到证实.
主要成果:
- 患者提出了最初暗示中央甲状腺功能低下症的发现.
- 产后甲状腺炎被诊断出尽管明显的症状很少.
- 综合性内分泌评估对于准确诊断至关重要.
结论:
- 产后甲状腺炎是产后期甲状腺功能低下的一个重要原因.
- 微妙的表现需要高度的怀疑指数和彻底的内分泌调查.
- 区分中央和初级甲状腺功能低下症对于适当的管理至关重要.
相关概念视频
Synthesis and Regulation of Thyroid Hormones
4.7K
Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
4.7K
The Thyroid Gland
4.0K
The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
4.0K
Functions of Thyroid Hormones
2.8K
The thyroid hormone (TH) plays a pivotal role in the intricate orchestration of physiological processes, exerting profound effects on development, metabolism, and homeostasis throughout different life stages.
TH is indispensable for the normal development and maturation of the skeletal, muscular, and nervous systems during fetal and childhood growth. It facilitates bone mineral turnover and regulates protein synthesis in developing tissues, contributing significantly to overall growth and...
TH is indispensable for the normal development and maturation of the skeletal, muscular, and nervous systems during fetal and childhood growth. It facilitates bone mineral turnover and regulates protein synthesis in developing tissues, contributing significantly to overall growth and...
2.8K
The Parathyroid Glands
2.2K
The two pairs of parathyroid glands embedded within the posterior surface of the thyroid gland are restricted by a dense capsule around them. These glands comprise two distinct cell populations—parathyroid oxyphil and parathyroid principal cells- pivotal in calcium homeostasis.
Oxyphil cells, whose functions remain elusive, emerge during late puberty, adding a layer of complexity to the parathyroid gland's intricacies. In contrast, principal parathyroid cells undertake a vital role by...
Oxyphil cells, whose functions remain elusive, emerge during late puberty, adding a layer of complexity to the parathyroid gland's intricacies. In contrast, principal parathyroid cells undertake a vital role by...
2.2K
Myocarditis II: Clinical Features and Diagnostic Tests
12
Myocarditis is an inflammation of the heart muscle. The symptoms vary widely, encompassing asymptomatic presentations to severe, acute manifestations.Clinical PresentationAsymptomatic cases: In some instances, myocarditis may be asymptomatic, with the infection resolving without intervention. These cases often go undetected unless discovered incidentally through diagnostic imaging or tests conducted for other reasons.General Early Symptoms: Early symptoms of myocarditis are non-specific and can...
12
Major Hormones and Their Functions
490
Hormones, the biochemical messengers produced by endocrine glands, are pivotal in regulating bodily functions and maintaining homeostasis. Each hormone's balance is crucial; imbalances can lead to significant physiological disruptions. Major hormones include oxytocin, cortisol, epinephrine, estrogen, testosterone, thyroxine, growth hormone, insulin, and glucagon.
Oxytocin, produced in the hypothalamus and released by the pituitary gland, plays a role in social bonding, childbirth, and...
Oxytocin, produced in the hypothalamus and released by the pituitary gland, plays a role in social bonding, childbirth, and...
490


