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在斋月斋戒期间,一名青少年患有原发性甲状腺功能障碍的病例报告
Ujunwa Justina Eze1,2, Sundus Elfadil2
1Family Medicine Residency Program, WellSpan Good Samaritan Hospital, Lebanon, PA, USA.
SAGE open medical case reports
|March 27, 2024
概括
儿童的原发性副甲状腺功能障碍症很少见,并且经常表现出模糊的症状. 斋月禁食可以揭示这种情况,需要高的怀疑指数用于早期诊断和治疗.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 初级甲状腺功能障碍症在儿科患者中不常见.
- 在儿童中,非特异性症状往往会延迟诊断.
- 斋月禁食已被确定为症状表现的潜在触发因素.
研究的目的:
- 报告一名儿科患者的斋月禁食揭露的原发性甲状腺功能障碍病例.
- 强调在禁食期间有模糊症状的儿童考虑初级甲状腺功能障碍症的重要性.
主要方法:
- 一个15岁的男性出现非特异性症状的案例介绍.
- 生物化学研究包括,副甲状腺激素和维生素D水平.
- 诊断成像以确定副甲状腺腺瘤.
- 通过副甲状腺切除术进行手术管理.
主要成果:
- 患者在斋月禁食期间出现体重减轻,腹痛,头痛和疲劳.
- 调查证实了高血症,甲状腺前腺激素升高,低血和维生素D不足.
- 一个副甲状腺腺瘤被确定并通过手术切除.
- 副甲状腺切除术后,副甲状腺激素正常化,患者出现症状消失和体重增加.
结论:
- 在患有非特异性症状的儿科患者中,应怀疑原发性甲状腺功能增强症,特别是在斋月禁食期间.
- 早期诊断和手术干预对于儿科原发性甲状腺功能障碍症的良好结果至关重要.
- 斋月禁食可以作为一个触发器的表现的初级甲状腺功能障碍在易受影响的个体.
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