霍夫曼综合征:一种罕见的甲状腺功能低下肌肉病变的表现
Saira Bano1, Syed Onaiz Anwar1, Shumaila Ambreen1
1Pakistan Navy Station Shifa Hospital, Karachi, Pakistan.
Folia medica
|October 30, 2025
概括
甲状腺功能低下症可能导致罕见的肌肉疾病,如霍夫曼综合征,呈现为小腿伪高缩和软弱. 立即的勒沃西治疗导致一个年轻的男性患者的症状迅速改善.
科学领域:
- 内分泌学 在内分泌学.
- 神经学 神经学
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 甲状腺功能障碍与全身代谢问题有关,可以表现为甲状腺肌病症.
- 识别甲状腺肌病的临床症状对于有效管理至关重要.
- 甲状腺疾病的异常表现需要全面的诊断方法.
研究的目的:
- 报告一种罕见的霍夫曼综合征病例,这是甲状腺功能低下症的次要病例.
- 突出甲状腺功能低下肌病的诊断挑战和临床表现.
- 强调早期诊断和治疗甲状腺功能障碍的重要性.
主要方法:
- 一个29岁的男性患有腿部胀和小腿肌肉硬的病例报告.
- 临床检查显示小牛的伪高缩和戈尔斯的标志.
- 实验室测试评估甲状腺激素水平 (T3,T4,TSH) 和肌肉酶.
主要成果:
- 患者出现了与霍夫曼综合征一致的症状,一种罕见的甲状腺功能低下肌病.
- 实验室发现证实了甲状腺功能低下症,TSH水平升高,T3/T4水平低.
- 利沃甲氧氨酸治疗导致肌肉症状的急剧和渐进的改善.
结论:
- 霍夫曼综合征是一种罕见但可治疗的甲状腺功能低下肌病的表现.
- 早期诊断甲状腺功能障碍对于预防严重肌病性并发症至关重要.
- 立即使用levothyroxine治疗可以导致患有甲状腺功能低下肌病的患者完全康复.
相关概念视频
Synthesis and Regulation of Thyroid Hormones
7.1K
Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
7.1K
Cardiomyopathy III: Hypertrophic Cardiomyopathy
387
Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
387
The Thyroid Gland
6.6K
The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
6.6K
Disorders of the Skeletal Muscle
1.7K
The clinical conditions affecting the skeletal muscle tissue are broadly categorized as musculoskeletal and neuromuscular disorders.
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
1.7K
Functions of Thyroid Hormones
4.9K
The thyroid hormone (TH) plays a pivotal role in the intricate orchestration of physiological processes, exerting profound effects on development, metabolism, and homeostasis throughout different life stages.
TH is indispensable for the normal development and maturation of the skeletal, muscular, and nervous systems during fetal and childhood growth. It facilitates bone mineral turnover and regulates protein synthesis in developing tissues, contributing significantly to overall growth and...
TH is indispensable for the normal development and maturation of the skeletal, muscular, and nervous systems during fetal and childhood growth. It facilitates bone mineral turnover and regulates protein synthesis in developing tissues, contributing significantly to overall growth and...
4.9K
Myasthenia Gravis: Overview and Treatment
2.8K
Myasthenia gravis is a neuromuscular transmission disorder characterized by weakness and increased fatigability of skeletal muscles. It is an autoimmune disease affecting approximately one in 2000 people, where antibodies against the α1 subunit of nicotinic acetylcholine receptors are produced.
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
2.8K


