Progressive Thymic Hyperplasia With Graves' Disease: A Case Report

被引:0
作者
Ogawa, Noriko [1 ]
Yomota, Miwako [1 ]
Notsu, Masakazu [1 ]
Kanasaki, Keizo [1 ]
机构
[1] Shimane Univ, Div Endocrinol & Metab, Fac Med, Izumo, Japan
关键词
thiamazole; thyroidectomy; sil; -2r; thymic hyperplasia; graves' disease; THYROID-FUNCTION; IDENTIFICATION; PROLIFERATION; RECEPTORS; HORMONES; THERAPY; GLAND;
D O I
10.7759/cureus.43950
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We treated a 36-year-old man with thymic hyperplasia complicated with Graves' disease. Thymic hyperplasia was observed on thoracic computed tomography (CT) three months after the onset of thyrotoxicosis symptoms. One month after thiamazole initiation, he displayed drug-induced liver injury and underwent a total thyroidectomy. Seven months after surgery, we observed a dramatic reduction of thymic size associated with normalizing the soluble interleukin-2 receptor (sIL-2R) levels. The rapid development of hyperplasia after the onset of thyrotoxicosis and the restoration in thymus volume after total thyroidectomy associated with suppression of sIL-2R, in this case, suggests the complexity of the pathogenesis of thymic hyperplasia in the thyrotoxicosis.
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