泛海皮下垂体症 呈现为神经瘤 昏迷 揭示希恩综合征
Mennaallah Eid1, Daniel Joseph Toft1
1Division of Endocrinology, Diabetes, and Metabolism, University of Illinois at Chicago, Chicago, Illinois, USA.
Case reports in endocrinology
|October 20, 2025
概括
严重的甲状腺功能低下症并发症 - - 疹性昏迷 - - 可能被误诊. 这一案例表明,检查自由甲状腺素水平对于准确的中央甲状腺功能低下症诊断的重要性.
科学领域:
- 内分泌学 在内分泌学.
- 内部医学 内部医学
背景情况:
- 甲状腺瘤昏迷 (MC) 是一种罕见的,危及生命的并发症,无法控制的甲状腺功能低下症.
- 延迟诊断可能会导致严重的健康后果.
研究的目的:
- 报告一个被误诊为上腺功能不全的疹昏迷病例.
- 突出中央甲状腺功能低下症的诊断挑战,特别是正常的TSH水平.
主要方法:
- 一个46岁的女性病例报告,表现为血液动力学不稳定性和低血.
- 上腺功能不充分 (AI) 的初始诊断被修改为全下垂体和中央甲状腺功能低下症.
主要成果:
- 该患者呈现出暗示AI的症状,但具有潜在的泛位垂体症和中央甲状腺功能低下症.
- 18年前产后出血导致的Sheehan综合征被确定为可能的原因.
结论:
- 正常的TSH水平可以掩盖中央甲状腺功能低下症;免费甲状腺素检测至关重要.
- 综合性评估对于诊断诸如混性昏迷症和希恩综合征等疾病至关重要.
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