严重的头痛作为无痛甲状腺炎的初始表现:儿科病例报告
Risa Nagase1, Yuki Kawashima1,2, Mari Asakura1
1Department of Pediatrics, Showa General Hospital, Tokyo, Japan.
概括
无痛的甲状腺炎是甲状腺毒性病的原因,在儿童中可以呈现为严重的头痛. 测量甲状腺激素水平对于诊断这种不常见的儿科头痛原因至关重要.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 神经学 神经学
- 内部医学 内部医学
背景情况:
- 无痛的甲状腺炎是已知的甲状腺毒性病 (甲状腺激素过量) 的原因.
- 典型的甲状腺毒素症症状包括虚弱,疲劳,心和震.
- 头痛是甲状腺毒性病的罕见,但可能的表现.
研究的目的:
- 报告两例儿科病例,无痛甲状腺炎最初伴有严重头痛.
- 突出强调在患有不明原因头痛的儿童中考虑甲状腺毒性病的重要性.
主要方法:
- 案例报告两名14岁的男孩出现严重的偏头痛类似的头痛.
- 诊断工作包括头部成像,甲状腺功能测试 (甲状腺激素和TSH水平) 和甲状腺超声波.
- 无痛甲状腺炎的诊断是基于临床表现,实验室结果和成像发现.
主要成果:
- 两位患者都表现出严重的头痛作为主要症状,没有典型的甲状腺毒素症症状.
- 增加的甲状腺激素和抑制的TSH水平证实了甲状腺毒性病.
- 甲状腺超声波显示血液流量增加,甲状腺疼痛没有出现.
- 由于甲状腺激素水平在几个月内正常化,头痛自发改善.
结论:
- 无痛的甲状腺炎可以表现为严重的头痛在儿科患者.
- 测量甲状腺荷尔蒙水平是建议儿童无法解释的严重头痛.
- 早期诊断甲状腺毒理症可以帮助控制头痛和减少家长的焦虑.
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