甲状腺功能障碍在菌菌病中:超声波和实验室洞察力
Dalia Ibrahim Halwag1, Samar Mohamed Samy Gad2, Eman M ElEryan1
1Department of Dermatology, Venereology and Andrology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Dermatology practical & conceptual
|May 22, 2025
概括
甲状腺异常,如甲状腺炎和结节在真菌菌病患者中很常见,特别是那些患有低颜色变体的患者. 建议定期进行甲状腺查,以早期检测和管理.
科学领域:
- 皮肤病学 皮肤病学
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
背景情况:
- 甲状腺参与真菌菌菌病 (MF) 很少被记录,通常出现在偶然的皮肤外疾病,二次恶性瘤或视网类药物等治疗的副作用中.
- 这项研究通过调查更大的患者队列来解决MF中报告的甲状腺疾病的罕见性.
研究的目的:
- 在被诊断为菌菌病的患者中,系统地查甲状腺生化和结构异常.
- 为了确定MF变体和甲状腺变化之间的潜在关联.
主要方法:
- 28名患有真菌菌菌病的患者接受了甲状腺超声波检查.
- 在所有参与者中评估了甲状腺激素水平和抗甲状腺过氧化酶抗体标位.
主要成果:
- 甲状腺超声检查显示,在39.3%的患者中,甲状腺缺血性腺体 (暗示甲状腺炎),在39.3%的患者中,甲状腺结节.
- 甲状腺功能测试和抗体水平在92.9%的患者中保持正常.
- 观察到MF变体和甲状腺回生性 (P=0.017) 之间存在显著的相关性,而低颜色变体显示出更高的低回生性 (80%). 在MF变种和DTD-TIRADS得分之间也发现了显著的关系 (P=0.014).
结论:
- 这些发现表明,MF患者中甲状腺炎和结节的患病率显著,需要定期进行甲状腺查.
- 早期检测甲状腺异常至关重要,特别是对于患有低颜色变异性菌根性真菌病变的个体.
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