疼痛是甲状腺功能低下症的一个症状
Nishant Kumar1, Mrinal Kamal1, Pramod Kohli1
1Department of Anaesthesiology, Lady Hardinge Medical College and Associated Hospitals, Shaheed Bhagat Singh Marg, New Delhi, India.
Journal of anaesthesiology, clinical pharmacology
|October 11, 2024
概括
甲状腺功能低下症可以模仿慢性疼痛状况,导致衰弱的症状. 早期查甲状腺功能对于有效的疼痛管理和避免不必要的治疗至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 神经学 神经学
- 疼痛管理 疼痛管理
背景情况:
- 慢性背部和四肢疼痛显著影响生活质量,经常被误诊为关节炎或神经根问题.
- 目前涉及口服止痛药和侵入性手术的治疗方法对许多患者提供了有限的缓解.
- 甲状腺功能低下症可以表现为外围神经病变,模仿陷神经病变,并引起肌肉和软弱等症状.
研究的目的:
- 突出神经肌肉疼痛作为潜在的甲状腺功能低下的主要症状.
- 为了强调甲状腺查在无法解释的慢性疼痛患者的重要性.
- 为了介绍甲状腺素治疗改善慢性疼痛症状的病例.
主要方法:
- 对五个临床病例的审查,这些病例呈现出急性或慢性疼痛.
- 评估患者的症状,包括神经肌肉疼痛,软弱和运动不耐受.
- 评估甲状腺功能测试 (TSH,FT3,FT4) 和抗甲状腺过氧化酶抗体.
主要成果:
- 五名患有慢性疼痛的患者在开始甲状腺素治疗后经历了显著改善.
- 在这些情况下,神经肌肉症状,包括疼痛,和虚弱,是甲状腺功能低下症的唯一指标.
- 甲状腺查确定甲状腺功能低下症是以前对传统治疗无反应的患者疼痛的潜在原因.
结论:
- 神经肌肉疼痛可能是甲状腺功能低下症的主要或唯一出现的症状.
- 在进行广泛的疼痛管理干预之前,建议查甲状腺功能和抗甲状腺抗体.
- 及时诊断和治疗甲状腺功能低下症可以有效地缓解慢性疼痛并改善患者的治疗结果.
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