Graves Ophthalmopathy After Treatment of Subclinical Hyperthyroidism From Multinodular Goiter With Radioactive Iodine

C. Signore
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Abstract

Abstract: The development of thyroid stimulating hormone receptor antibodies (TRAB) and associated Graves disease has been previously described in patients with multinodular goiter after treatment with radioactive iodine. We describe the case of a 72-year-old man with subclinical hyperthyroidism secondary to multinodular goiter who developed TRAB and Graves ophthalmopathy after treatment with radioactive iodine. The patient had become hypothyroid, when his eye disease first made its appearance. This appears to be the first reported case of isolated Graves ophthalmopathy in a patient who was hypothyroid at the time of presentation and who developed TRAB after treatment for multinodular goiter.
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放射性碘治疗多结节性甲状腺肿亚临床甲状腺功能亢进后的Graves眼病
摘要:在放射性碘治疗后的多结节性甲状腺肿患者中,甲状腺刺激激素受体抗体(TRAB)和相关Graves病的发展已被报道。我们描述的情况下,72岁的男子亚临床甲状腺机能亢进继发于多结节性甲状腺肿谁发展TRAB和格雷夫斯眼病治疗后放射性碘。当病人的眼疾第一次出现时,他已经甲状腺功能减退了。这似乎是第一例孤立的格雷夫斯眼病,患者在就诊时甲状腺功能减退,并在治疗多结节性甲状腺肿后发展为TRAB。
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来源期刊
Endocrinologist
Endocrinologist 医学-内分泌学与代谢
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William Osler (1849–1919) Harvey Williams Cushing (1869–1939) Andreas Vesalius (1514–1564) George washington corner 1889–1981 Primary Aldosteronism Complicated by Severe Hypokalemic Myopathy
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