Hypothyroidism to hyperthyroidism: an immunological pendulum swing from two extreme poles - a case series.
BMJ Case Rep
; 12(4)2019 Apr 05.
Article
em En
| MEDLINE
| ID: mdl-30954956
ABSTRACT
We report two women who were diagnosed with hypothyroidism due to what was thought to be Hashimoto's thyroiditis 18 and 16 years ago, respectively. They had been euthyroid on stable doses of levothyroxine for many years, and they presented to our clinic with clinically and biochemically overt hyperthyroidism that persisted even after stopping levothyroxine. Immunological and imaging workups were consistent with Graves' disease. Both patients were treated medically and then received definitive treatment. To our knowledge, the intervals for these two conversions are among the longest conversion intervals reported in the medical literature.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Antitireóideos
/
Doença de Graves
/
Antagonistas Adrenérgicos beta
/
Doença de Hashimoto
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Hipertireoidismo
/
Hipotireoidismo
Tipo de estudo:
Etiology_studies
Limite:
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
BMJ Case Rep
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Estados Unidos