桥本甲状腺炎伴严重压力症状1例报告

T Tsunoda, N Mochinaga, T Eto, M Terada, R Tsuchiya
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引用次数: 6

摘要

本文报告一例极为罕见的桥本甲状腺炎,其表现为压力症状。一位50岁的日本妇女因前颈部肿胀,面部水肿和近期严重打鼾而被转介到我科。耳鼻咽喉检查显示双侧声带无运动,严重喉部水肿及舌咽弥漫性水肿。这些结果显然是由于甲状腺肿大压迫双侧复发神经和颈内静脉所致。甲状腺功能和自身免疫测试的结果与桥本氏病的诊断一致,因此,进行了气管切开术的全甲状腺切除术。切除的标本重168克,经组织学证实为桥本氏病。术后上述症状全部消失,4个月后,患者身体健康,无症状。
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Hashimoto's thyroiditis presenting with severe pressure symptoms--a case report.

A extremely rare case of Hashimoto's thyroiditis presenting with pressure symptoms is described herein. A 50 year old Japanese woman was referred to our department with swelling of the anterior neck, facial edema and recent heavy snoring. Oto-rhinolaryngological examinations revealed no movement of the bilateral vocal cords, severe laryngeal edema and diffuse edema of the tongue and pharynx. These findings had apparently been induced by compression of the bilateral recurrent nerves and internal jugular veins by an enlarged thyroid gland. The results of thyroid function and autoimmune tests were compatible with a diagnosis of Hashimoto's disease and thus, total thyroidectomy with a tracheostomy was performed uneventfully. The resected specimen weighed 168 grams and was confirmed histologically to be Hashimoto's disease. Following her operation, all the above symptoms disappeared and 4 months later, the patient is well and asymptomatic.

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