저칼슘혈증을 동반한 급성 화농성 갑상선염 1예
A Case of Acute Suppurative Thyroiditis Complicated by Hypocalcemia
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
We report a case of acute suppurative thyroiditis complicated by idiopathic hypoparathyroidism. The patient was a 49-year-old female who visited our clinic with a painful goiter on the left lobe of the thyroid gland. She was hypocalcemic, which was accompanied unusually by acute suppurative thyroiditis. She also suffered from tetany of both hands and legs. She had undergone a right subtotal thyroidectomy at another hospital 23 years previously due to a benign thyroid nodule. Intact parathyroid hormone (PTH) levels were increased, but other laboratory findings were normal. No special treatment was administered for the acute suppurative thyroiditis, except antibiotics, to observe its natural course. Her PTH levels decreased and serum calcium returned to normal. The complication of acute suppurative thyroiditis suggested the possible involvement of idiopathic hypoparathyroidism.
Abstract
We report a case of acute suppurative thyroiditis complicated by idiopathic hypoparathyroidism. The patient was a 49-year-old female who visited our clinic with a painful goiter on the left lobe of the thyroid gland. She was hypocalcemic, which was accompanied unusually by acute suppurative thyroiditis. She also suffered from tetany of both hands and legs. She had undergone a right subtotal thyroidectomy at another hospital 23 years previously due to a benign thyroid nodule. Intact parathyroid hormone (PTH) levels were increased, but other laboratory findings were normal. No special treatment was administered for the acute suppurative thyroiditis, except antibiotics, to observe its natural course. Her PTH levels decreased and serum calcium returned to normal. The complication of acute suppurative thyroiditis suggested the possible involvement of idiopathic hypoparathyroidism.
참고문헌 (10)
- Singer PA, "Thyroiditis: acute, subacute, and chronic", Med Clin North Am, 75, pp.61~77 (1991)
- Cases JA, "Recurrent acute suppurative thyroiditis in an adult due to a fourth branchial pouch fistula", J Clin Endocrinol Metab, 85, pp.953~956 (2000)
- Ahn WS, "Tuberculosis of thyroid gland", J Korean Soc Surg, 21, pp.88~90 (1979)
- Kang BS, "A case of thyroid abscess by Straphylococcus aureus", J Korean Soc Endocrinol, 11, pp.207~213 (1996)
- Schweitzer VG, "Thyroid abscess", Otolaryngol Head Neck Surg, 89, pp.226~229 (1981)
- Lough DR, "Acute suppurative thyroiditis in children", Otolaryngol Head Neck Surg, 114, pp.462~465 (1996)
- Heymann RS, "Anaplastic thyroid carcinoma with thyrotoxicosis and hypoparathyroidism", Endocr Pract, 11, pp.281~284 (2005)
- Mori K, "A case of idiopathic hypoparathyroidism complicated with chronic thyroiditis", Nihon Naibunpi Gakkai Zasshi, 67, pp.1339~1344 (1991)
- Miyauchi A, "Piriform sinus fistula: an underlying abnormality common in patients with acute suppurative thyroiditis", World J Surg, 14, pp.400~405 (1990)
- Sakiyama R, "Thyroiditis: a clinical review", Am Fam Physician, 48, pp.615~621 (1993)