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由于COVID-19疫苗的亚急性甲状腺炎
Nishant Kumar1, Dina Falah Zeki2,3, Mihail Zilbermint2,3,4
1Franciscan Health Olympia Fields, South, Crawford Ave, Olympia Fields, IL 60461, USA.
Journal of community hospital internal medicine perspectives
|March 14, 2024
概括
一名90岁的女性在mRNACOVID-19疫苗接种后出现了亚急性甲状腺炎. 这一案例强调了在接种疫苗后患有脑病变的患者中检查甲状腺功能的重要性.
科学领域:
- 内分泌学 在内分泌学.
- 疫苗学 疫苗学 疫苗学
- 神经学 神经学
背景情况:
- mRNA SARS-CoV-2 疫苗已被广泛使用.
- 接种疫苗后的不良事件需要彻底调查.
- 甲状腺功能障碍可以表现为各种神经症状.
研究的目的:
- 在mRNA COVID-19疫苗接种后报告罕见的亚急性甲状腺炎病例.
- 强调需要考虑免疫接种者出现神经症状时的甲状腺功能障碍.
- 提高临床医生对潜在的急性疫苗并发症的认识.
主要方法:
- 一个90岁的女性病例报告,她被录取时感到困惑和虚弱.
- 实验室调查,包括甲状腺功能测试 (TSH,T4),ESR和CRP.
- 甲状腺超声波和核医学甲状腺吸收扫描.
主要成果:
- 患者呈现的TSH水平低,T4,ESR和CRP水平升高.
- 甲状腺成像显示了结节和低吸收率,与亚急性甲状腺炎一致.
- 在第二次mRNA SARS-CoV-19疫苗注射后19天出现症状.
结论:
- 亚急性甲状腺炎是mRNA SARS-CoV-2疫苗接种的潜在急性并发症.
- 医生应该讨论疫苗的风险和益处,检查脑病变患者的甲状腺功能,并识别甲状腺功能过高的症状.
- 需要进一步的研究,以确定患有疫苗相关并发症风险较高的个体.
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