전신성 경피증에 동반된 갑상선 기능저하증과 부갑상선 기능저하증 1예
A case of hypoparathyroidism and hypothyroidism in systemic sclerosis
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저자들은 결체 조직 질환인 전신성 진행성 경피증에 내분비 질환인 갑상선 기능저하증과 부갑상선 기능저하증이 같이 동반된 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Systemic sclerosis is associated to lymphocytic infiltration and fibrosis of multiple organs. The cause of systemic sclerosis is autoimmune disorder, so systemic sclerosis may be associated with other connective tissue disease or endocrine disease which may be induced by autoantibody. In this case, we experienced 44 year-old woman who presented with sclerosis on hand and upper arms. In serum, tri-iodothyronine (T3), Ca+2 and parathyroid hormone (PTH) are in high concentration, thyroid stimulating hormone (TSH) and phosphate are in low concentration. She is diagnosed to hypothyroidism and hypoparathyroidism in systemic sclerosis. Hypothyroidism and hypoparathyroidism in systemic sclerosis may be rare. We report the case of hypothyroidism and hypoparathyroidism in systemic sclerosis with review of literature.(Korean J Med 63:696-700, 2002)