甲状腺毒性病被误诊为长期Covid通过远程医疗 - 一个警告故事
Toshitaka Sawamura1,2,3, Shigehiro Karashima3, Mitsuhiro Kometani2,3
1Department of Internal Medicine, Asanogawa General Hospital, Kanazawa, Japan.
European journal of case reports in internal medicine
|February 14, 2024
概括
格雷夫斯病 (GD) 可以模仿长期的COVID症状. 远程医疗可能会推迟GD诊断,但在SARS-CoV-2感染后持续的发烧和心率低下是面对面评估的关键指标.
科学领域:
- 内分泌学 在内分泌学.
- 传染性疾病 传染性疾病
- 远程医疗远程医疗
背景情况:
- 冠状病毒后疾病 (长期COVID) 呈现非特异性症状,与Graves病 (GD) 重叠.
- 远程医疗虽然对感染控制至关重要,但由于缺乏体检,它带来了诊断挑战.
- 区分长期COVID和GD对于准确的患者管理至关重要.
研究的目的:
- 为了突出延迟格雷夫斯病诊断的潜力,在有SARS-CoV-2感染史并呈现长期COVID症状的患者中.
- 在SARS-CoV-2后的条件下,识别可通过远程医疗检测到的暗示Graves病的迹象.
主要方法:
- 在SARS-CoV-2感染后被诊断患有格雷夫斯病的27岁女性的案例研究.
- 对长期COVID和Graves病呈现重叠的患者的远程医疗咨询中的症状和诊断挑战的审查.
- 通过远程医疗观察到的特定临床发现的分析,这些发现可能表明Graves病.
主要成果:
- 该患者最初通过远程医疗诊断出患有长期COVID,后来在面对面检查时确认患有Graves'病.
- 在格雷夫斯病中常见的轻度发烧和心率低下,被认为是可以在远程医疗访问期间检测到的症状.
- 这些特定症状对长期COVID的特征较少,这表明它们作为诊断线索的实用性.
结论:
- 远程医疗可能导致最近感染SARS-CoV-2的患者晚期诊断Graves病.
- 通过远程医疗检测到的持续的轻度发烧和心动减速可以作为怀疑格雷夫斯病的关键指标.
- 当这些特定症状在SARS-CoV-2后患者的远程医疗咨询期间被发现时,建议进行面对面检查.
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