甲状腺功能减退患者甲状腺抗体阳性与神经传导关系的研究结果

I. V. Padma, S. Panda
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摘要

神经病变是一半以上的门诊病人的常见表现。这些神经病变可能是由许多原因引起的。部分患者并非糖尿病或酗酒者,甲状腺检查显示甲状腺功能减退。多数患者未进行甲状腺补充治疗,部分患者接受不规律治疗。主要症状不明确,不能说明甲状腺功能不全或糖尿病,有嗜睡、手指刺痛、体重增加、皮肤干燥、便秘。在这些没有糖尿病和其他缺乏性疾病的患者中,对正中神经和尺神经的神经传导研究表明,由于强调诊断更常见的疾病,如糖尿病,这些患者的甲状腺功能低下状态被忽略了。如果排除这些情况,诊断甲状腺功能减退并不困难。
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Hypothyroid Patients with Positive Thyroid Antibodies and Relation to Nerve Conduction Study Findings
Neuropathies are common manifestations of more than half the patients attending medical out patientdepartments . These neuropathies could be due to many causes. Some of the patients are not diabeticsor alcoholics and thyroid profile revealed hypothyroidism . Most of the patients were not on thyroidsupplementation and some are on irregular treatment. Primary symptoms are vague not pointing to eitherthyroid deficiency or diabetes mellitus complained of lethargy , pain in the fingers stabbing in nature ,wightgain, dryskin ,constipation . Nerve conduction studies on median and ulnar nerves in these patients withoutdiabetes and other deficiency disorders point to miss hypothyroid state in these patients, as stress is put ondiagnosing more common conditions like diabetes mellitus. If these conditions are excluded it is not difficultto diagnose hypothyroid conditions.
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