Rheumatological Masks of Hypothyroidism

D. Mikhalkova, A. Vitebskaya
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Abstract

Aim: To demonstrate clinical cases of hypothyroidism in adolescents manifested under the guises of rheumatic diseases. Key points. We presented the cases of hypothyroidism which required differential diagnostics with systemic lupus erythematosus (SLE) and juvenile idiopathic arthritis (JIA). Thyroid arthropathy course is demonstrated. Conclusion. Hypothyroidism is characterized by nonspecific symptoms (weakness, oedema) which are also typical for SLE and JIA; thyroid hormones measurement for diagnostics is necessary. If joint syndrome remains in spite of hypothyroidism compensation repeated differential diagnostics of thyroid arthropathy and JIA is required. Keywords: adolescents, hypothyroidism, juvenile arthritis, systemic lupus erythematosus, thyroid arthropathy.
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甲状腺功能减退的风湿病口罩
目的:探讨以风湿病为伪装的青少年甲状腺功能减退症的临床表现。要点。我们提出的病例甲状腺功能减退,需要鉴别诊断与系统性红斑狼疮(SLE)和幼年特发性关节炎(JIA)。显示甲状腺关节病的病程。结论。甲状腺功能减退的特点是非特异性症状(虚弱、水肿),这也是SLE和JIA的典型症状;甲状腺激素测量对诊断是必要的。如果在甲状腺功能减退代偿后仍存在关节综合征,则需要对甲状腺关节病和JIA进行反复鉴别诊断。关键词:青少年,甲状腺功能减退,青少年关节炎,系统性红斑狼疮,甲状腺关节病。
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