Hyperthyroid Fetal Goiter: A Case Report

V. Loué, M. Traoré, Charles Kacou, A. Kouame, Eléonore Gbary-Lagaud, Julie Grevoul-Fesquet
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Abstract

The persistent presence of maternal thyroid-stimulating hormone receptor antibody in patients with Graves’disease could cause fetal hyperthyroid goiter during pregnancy. The recognition and treatment of hyperthyroid fetal goiter are believed to be very important to optimize growth and intellectual development in affected fetuses. We report here, a case of a hyperthyroid fetal goiter identified by ultrasound exam at 27 weeks 5 days of gestation in a women having Graves’ disease and on antithyroid drugs therapy. This observation shows the fetal risk associated with the persistence of anti-TSH receptor antibodies in mothers with Graves' disease and the possibility of fetal approach.
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甲状腺功能亢进胎儿甲状腺肿1例报告
Graves病患者母体促甲状腺激素受体抗体持续存在可导致妊娠期胎儿甲状腺功能亢进。认识和治疗甲状腺功能亢进胎儿甲状腺肿对优化胎儿生长发育和智力发育非常重要。我们在此报告一例甲状腺功能亢进胎儿甲状腺肿在27周妊娠5天超声检查发现的妇女患有格雷夫斯病和抗甲状腺药物治疗。这一观察结果表明,胎儿风险与格雷夫斯病母亲抗tsh受体抗体的持续存在和胎儿入路的可能性有关。
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