甲时性副甲状腺腺瘤的特征是复发性甲状腺
Kiera Brigh Turner1, Jonathan Wideroff2, Lawrence Brickman3
1Charles E Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida, USA kieraturner2019@health.fau.edu.
BMJ case reports
|February 4, 2025
概括
反复出现的结石可能是甲状腺上下腺症复发的信号,即使是几年后. 这一案例凸显了对患有结石的患者的高血症和罕见发生的甲时性副甲状腺腺瘤的调查的重要性.
科学领域:
- 内分泌学 在内分泌学.
- 腎臟病學 (nephrology) 是一種醫學.
- 手术病理学手术病理学
背景情况:
- 过多甲状腺功能障碍,往往无症状,可以呈现严重的症状,如结石和骨疼痛.
- 超慢性副甲状腺腺瘤虽然很少见,但在初始诊断和治疗几年后,可能会导致复发性副甲状腺症.
研究的目的:
- 报告由于甲时性副甲状腺腺瘤导致的复发性原发性甲状腺功能障碍症病例.
- 为了强调评估结石病对潜在的甲状腺上下腺功能障碍的重要性.
- 讨论甲时性副甲状腺腺瘤的诊断和临床影响.
主要方法:
- 一个60多岁的女性病例报告,她有甲状腺腺瘤病史.
- 临床表现是复发性甲,尿路感染和细菌血症.
- 手术部探索和移除甲时性副甲状腺腺瘤.
主要成果:
- 这位患者出现了复发性甲病和与复发性原发性甲状腺功能增强症一致的症状.
- 一个甲时性副甲状腺腺瘤被确定并通过手术切除.
- 在术后,症状完全消失.
结论:
- 甲病需要对甲状腺功能障碍症进行评估,即使在有甲状腺功能障碍病史的患者中也是如此.
- 超慢性副甲状腺腺瘤是复发性副甲状腺症的不常见但重要的原因.
- 实验室结果的有效沟通和患者的随访对于管理甲状腺功能障碍症至关重要.
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