在接种流感疫苗后出现亚急性甲状腺炎的情况
Norio Wada1, Arina Miyoshi1, Shuhei Baba1
1Department of Diabetes and Endocrinology, Sapporo City General Hospital, Sapporo, Japan.
Endocrinology, diabetes & metabolism case reports
|November 6, 2023
概括
亚急性甲状腺炎 (SAT) 可能发生在流感疫苗接种后,出现发烧和部疼痛. 建议在接种疫苗后出现这些症状的患者立即接受检查.
科学领域:
- 内分泌学 在内分泌学.
- 免疫学 免疫学 免疫学
背景情况:
- 亚急性甲状腺炎 (SAT) 是甲状腺的炎症状况.
- 接种疫苗,包括流感和COVID-19疫苗,是常见的医疗干预措施.
研究的目的:
- 在接种流感疫苗后报告亚急性甲状腺炎病例.
- 为了突出流感疫苗接种和SAT发病之间的潜在关联.
主要方法:
- 一名40岁的日本妇女在接种疫苗后出现了发烧和甲状腺毒性病的病例报告.
- 基于体检,实验室测试 (甲状腺激素,CRP) 和超声波的SAT临床诊断.
- 评估人类白细胞抗原 (HLA) 类型.
主要成果:
- 该患者在接种流感和COVID-19疫苗后被诊断出SAT.
- 观察到甲状腺毒性,C反应蛋白升高,甲状腺敏感性.
- 用普雷迪尼索隆治疗导致症状消失.
结论:
- 接种流感疫苗可能会引发亚急性甲状腺炎.
- 接种流感疫苗后的SAT可能会被忽视;疫苗接种史对诊断至关重要.
- HLA-A2和HLA-B35可能与SAT后流感疫苗接种有关.
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