射频消融和乙醇注射后自主功能甲状腺结节的瞬间甲状腺危象

Q4 Medicine

Journal of Clinical and Translational Endocrinology: Case Reports Pub Date : 2023-08-12 DOI:10.1016/j.jecr.2023.100153

Ladan Mostafavi , Iraj Heydari , Maryam Farasatinasab , Hossein Chegeni , Hojat Ebrahiminik , Jeyran Zebardast , Ramin Malboosbaf

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引用次数: 0

摘要

射频消融术（RFA）被认为是治疗甲状腺良性结节的一种有效且安全的技术。然而，最近有一些与该技术相关的甲状腺功能障碍的报道，尤其是甲状腺毒症。在这里，我们报告了一例34岁女性在RFA和乙醇注射治疗自主功能性甲状腺结节后立即（约20分钟）出现甲状腺危象的病例。幸运的是，经过治疗（水合作用、皮质类固醇、丙基硫氧嘧啶和普萘洛尔），她的症状有所改善，三天后，她出院了，情况良好。

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Instant thyroid crisis of autonomously functioning thyroid nodule after radio frequency ablation and ethanol injection

Radiofrequency ablation (RFA) is acknowledged as an effective and safe technique for the treatment of benign thyroid nodules. However, recently there have been some reports of thyroid dysfunction related to this technique, especially thyrotoxicosis. Here, we report a case of a 34-year-old woman's thyroid crisis instantly (about 20 minutes) after RFA and ethanol injection for an autonomous functional thyroid nodule. Fortunately, her symptoms improved with treatment (hydration, corticosteroid, propylthiouracil, and propranolol), and after three days, she was discharged from the hospital in good condition.

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来源期刊

Journal of Clinical and Translational Endocrinology: Case Reports Medicine-Endocrinology, Diabetes and Metabolism

CiteScore

1.10

自引率

0.00%

发文量

审稿时长

27 weeks

期刊介绍： The journal publishes case reports in a variety of disciplines in endocrinology, including diabetes, metabolic bone disease and osteoporosis, thyroid disease, pituitary and lipid disorders. Journal of Clinical & Translational Endocrinology Case Reports is an open access publication.