Abstract:
BACKGROUND:Non-thyroidal illness (NTI) refers to changes in thyroid hormone levels in critically ill patients in the absence of primary hypothalamic-pituitary-thyroid dysfunction, and these abnormalities usually resolve after clinical recovery. However, NTI can be accompanied by primary thyroid dysfunction. We report herein a case of a woman with NTI accompanied by primary hyperthyroidism. CASE PRESENTATION:A 52-year-old female was admitted to the intensive care unit with heart failure and atrial fibrillation. She had a longstanding thyroid nodule, and a thyroid function test revealed low levels of triiodothyronine and free thyroxine as well as undetectable thyroid stimulating hormone (TSH). She was diagnosed with NTI, and her TSH level began to recover but not completely at discharge. The thyroid function test was repeated after 42 months to reveal primary hyperthyroidism, and a thyroid scan confirmed a toxic nodule. CONCLUSION:This case suggests that although NTI was diagnosed, primary hyperthyroidism should be considered as another possible diagnosis if TSH is undetectable. Thyroid function tests should be repeated after clinical recovery from acute illness.
journal_name
BMC Endocr Disordjournal_title
BMC endocrine disordersauthors
Cho EA,Yoon JH,Kim HK,Kang HCdoi
10.1186/1472-6823-14-1subject
Has Abstractpub_date
2014-01-02 00:00:00pages
1issn
1472-6823pii
1472-6823-14-1journal_volume
14pub_type
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journal_title:BMC endocrine disorders
pub_type: 杂志文章
doi:10.1186/s12902-020-00661-x
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doi:10.1186/s12902-019-0482-0
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journal_title:BMC endocrine disorders
pub_type: 杂志文章,评审
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pub_type: 杂志文章
doi:10.1186/s12902-015-0025-2
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pub_type: 杂志文章,多中心研究,随机对照试验
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pub_type: 杂志文章,随机对照试验
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pub_type: 杂志文章,评审
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pub_type: 杂志文章
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pub_type: 杂志文章
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