A CASE OF RHEUMATOID-ARTHRITIS ASSOCIATED WITH SILENT THYROIDITIS

被引:2
|
作者
SAKATA, S [1 ]
NAGAI, K [1 ]
SHIBATA, T [1 ]
KAMIKUBO, K [1 ]
TOKIMITSU, N [1 ]
机构
[1] TAKAYAMA RED CROSS HOSP,DEPT INTERNAL MED,TAKAYAMA 506,JAPAN
关键词
RHEUMATOID ARTHRITIS; HYPERTHYROIDISM; SILENT THYROIDITIS;
D O I
10.1007/BF03348757
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 41-year-old female with rheumatoid arthritis had nontender enlarged thyroid gland. Thyroid function tests revealed increased concentrations of serum free T3 (FT3, 10.8 pmol/L) and free T4 (FT4, 31.1 pmol/L) with suppressed concentration of thyrotropin (TSH, lower than 0.1 mU/L) and low 24-hour thyroidal radioactive iodine uptake (1.6%). Serum thyrotropin receptor antibody (TRAb) was negative (0%) and she had positive anti-thyroglobulin and anti-microsomal antibodies. A diagnosis of silent thyroiditis was made based on laboratory findings. Serum concentrations of FT3 and FT4 normalized one month later without treatment. The causal relationship between the two diseases is discussed.
引用
收藏
页码:377 / 380
页数:4
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