체중증가를 동반한 갑상샘 과다증 1례
Hyperthyroidism associated with Overweight in Adolescent Girl; Case report
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초록
본 저자들은 체중증가를 동반한 여아의 현성 갑상샘 과다증 1례를 경험하였으며, 본 환아의 경우로 보아 비만 환아에서 갑상샘 기능 이상에 대한 검사가 꼭 필요하며 갑상샘 저하증 뿐만 아니라 갑상샘 과다증의 가능성 또한 배제하지 말아야 할 것으로 생각된다. 또한 갑상샘 질환 약물 치료 시작 후 비만이 급격히 심해질 수 있으므로 식이 요법 및 운동 요법의 중요성도 강조되어야 하겠다.
Abstract
The prevalence of childhood obesity is increasing worldwide in epidemic proportions, despite major efforts to promote weight reduction. Long-term follow-up indicates that obese children and adolescents tend to become obese adults. Thyroid disorders are common endocrine problems encountered in the pediatric and adolescent age group. Most reports about the relationship between thyroid dysfunction and obesity are topics about patient with hypothyroidism. Much of the rationale in trying to identify abnormalities of thyroid function in obesity is based on the concept that in hypothyroidism "slow metabolism leads to obesity". We report a case of a girl with tremor and modest weight gain. She was diagnosed as hyperthyroidism. We suggest that physicians consider a possibility of thyroid disease not only hypothyroidism but also hyperthyroidism in obese patients. To our knowledge, this is the first report of overt hyperthyroidism with obesity in children. We report a case with literature review.
참고문헌 (17)
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