毛脱落:一种非同寻常的,无法控制的甲状腺功能低下症的表现
Karen Lorena Palacios-Bayona1, Catalina Tobón-Ospina1
1Division of Endocrinology, Diabetes, Metabolism, Clínica Diagnóstica Especializada VID, Medellin, COL.
Cureus
|May 6, 2024
概括
严重的甲状腺功能低下症可能会导致毛损失 (乳腺发育). 及时诊断和levothyroxine治疗导致一个患有未经控制的甲状腺功能减退症的患者的毛再生,强调了识别这种不常见症状的重要性.
科学领域:
- 内分泌学 在内分泌学.
- 皮肤病学 皮肤病学
- 眼科医生 眼科 眼科
背景情况:
- 甲状腺功能低下症通常会导致皮肤和头发问题.
- 毛和眉毛损失 (madarosis/milphosis) 是一个不常见的表现.
- 这一案例突出显示了乳腺癌是无法控制的甲状腺功能低下症的症状.
研究的目的:
- 为了呈现一种未经控制的甲状腺功能低下症的继发性乳腺瘤病例.
- 强调认识到毛损失作为甲状腺功能低下症的潜在迹象的重要性.
- 为在甲状腺功能低下症中对madarosis和milphosis的有限文献做出贡献.
主要方法:
- 一个24岁的女性病例报告,她有甲状腺功能低下病史.
- 临床表现包括明显的毛损失和严重甲状腺功能低下的症状.
- 实验室分析显示甲状腺刺激激素 (TSH) 水平明显升高.
主要成果:
- 患者出现了广泛的毛损失和周围眼圈胀.
- 甲状腺刺激激素 (TSH) 水平为240.8μIU/mL,表明严重的甲状腺功能低下症.
- 利沃甲氧治疗导致症状完全消失,眼在12周内重新生长.
结论:
- 甲状腺癌可能是严重的,不受控制的甲状腺功能低下症的征兆.
- 临床医生的意识对于诊断和治疗这种不常见的表现至关重要.
- 及时诊断和治疗甲状腺功能低下症会带来良好的结果,包括头发的再生.
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