Medicine · 2022
Graves' hyperthyroidism induced pancytopenia, epilepsia and muscle weakness: A case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Fu Bao, He Dinghong, Geng Zhengguang, Fu Xiaoyun
Аннотация
RATIONALE: Pancytopenia and epilepsia are rare complications of Graves' disease (GD). Muscle weakness is a physical sign of GD. It is extremely rare for GD patients to present 3 symptoms at the same time.
PATIENT CONCERNS: A 35-year-old female was admitted to hospital for dizziness for 1 day. The results of laboratory examination on admission showed pancytopenia and hypothyroidism. Her clinical manifestations include pancytopenia, epilepsy, and muscle weakness.
DIAGNOSIS: Graves' hyperthyroidism.
INTERVENTIONS: She received endotracheal intubation, ventilator, antithyroid drugs, and hormone therapy.
OUTCOME: The patient was discharged after treatment.
LESSON: Severe complications caused by GD are rare and require antithyroid therapy. Although glucocorticoid is not recommended by the guidelines, it can effectively improve thrombocytopenia.
PATIENT CONCERNS: A 35-year-old female was admitted to hospital for dizziness for 1 day. The results of laboratory examination on admission showed pancytopenia and hypothyroidism. Her clinical manifestations include pancytopenia, epilepsy, and muscle weakness.
DIAGNOSIS: Graves' hyperthyroidism.
INTERVENTIONS: She received endotracheal intubation, ventilator, antithyroid drugs, and hormone therapy.
OUTCOME: The patient was discharged after treatment.
LESSON: Severe complications caused by GD are rare and require antithyroid therapy. Although glucocorticoid is not recommended by the guidelines, it can effectively improve thrombocytopenia.