Association of Giant Cell Arteritis with Papillary Thyroid Carcinoma.

Q3 Medicine

Acta medica (Hradec Kralove) Pub Date : 2022-01-01 DOI:10.14712/18059694.2023.5

Lucia Šípová, Barbora Havlínová, Martina Bělobrádková, Leoš Ungermann, Tomáš Soukup

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引用次数: 0

Abstract

Previous studies suggest that there may be an association between cancer and autoimmune diseases. We describe the case of a 59-year-old patient who did not have any significant diseases in the last year. She had new onset of fever of unknown aetiology, headache, fatigue and night sweats. We used laboratory methods to rule out infectious diseases. Significant laboratory findings reported increased signs of inflammation and anti-nuclear antibody (ANA) positivity. Positron emission tomography/computed tomography (PET/CT) imaging showed the origin of the patient's difficulties, arteritis, with increased metabolic activity in the aortic wall and other arteries. Doppler ultrasonography of the arteries did not show pathology in the temporal arteries but found accelerated blood flow in the superior mesenteric artery (AMS). Another finding from PET/CT was a tumour in the thyroid gland, later verified histologically as papillary thyroid carcinoma (PTC). We investigated the link between rheumatological disease and papillary carcinoma, applying similar therapy, corticosteroids and immunosuppressants.

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巨细胞动脉炎与甲状腺乳头状癌的关系。

先前的研究表明，癌症和自身免疫性疾病之间可能存在关联。我们描述了一个59岁的病人谁没有任何重大疾病在去年的情况下。她有不明原因的新发发热、头痛、疲劳和盗汗。我们用实验室方法排除了传染病。重要的实验室结果报告炎症和抗核抗体(ANA)阳性迹象增加。正电子发射断层扫描/计算机断层扫描(PET/CT)成像显示患者的困难来源，动脉炎，主动脉壁和其他动脉代谢活动增加。动脉的多普勒超声检查未显示颞动脉病变，但发现肠系膜上动脉(AMS)血流加速。PET/CT的另一个发现是甲状腺肿瘤，后来组织学证实为甲状腺乳头状癌(PTC)。我们研究了风湿病和乳头状癌之间的联系，应用类似的治疗，皮质类固醇和免疫抑制剂。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta medica (Hradec Kralove) Medicine-Medicine (all)

CiteScore

1.10

自引率

0.00%

发文量

审稿时长

20 weeks

期刊介绍： Acta Medica (Hradec Králové) is a multidisciplinary medical journal published by the Faculty of Medicine in Hradec Králové - Karolinum Press, the publishing house of Charles University. The journal is peer-reviewed and published quarterly in both paper and electronic form. The language of Acta Medica is English. Offerings include review articles, original articles, brief communications, case reports, announcements and notices. The journal was founded in 1958 under the title "A Collection of Scientific Works of the Charles University Faculty of Medicine in Hradec Kralove."