临床误诊误治2018，Vol.31Issue(6)：25-27,3.DOI:10.3969/j.issn.1002-3429.2018.06.009
以多浆膜腔积液为首发表现的原发性甲减误诊讨论
Discussion of Misdiagnosis of Primary Hypothyroidism with Polyserous Effusions as Initial Manifestations
李福青 1方兴国 1王红1
作者信息
- 1. 563003 贵州 遵义,遵义医学院附属医院消化内科
- 折叠
摘要
Abstract
Objective To investigate the clinical characteristics and causes of misdiagnosis of primary hypo-thyroidism with polyserous effusions as initial manifestations. Methods The clinical data of a patient who was ad-mitted to our hospital for primary hypothyroidism with polyserous effusions as initial manifestations was analyzed retro-spectively. Results The patient was hospitalized with abdominal pain and fever for more than one month, and un-derwent various medical examinations, including CT examinations of the chest and abdomen, color doppler ultrasound ( color ultrasound) of the combined heart, urinary system and abdomen as well as gynecological ultrasound, and blood routine examination. The preliminary diagnosis was as follow:(1) Tumor? (2) Tuberculosis (TB)? (3) The connective tissue disease? (4) Other diseases? Anti-tuberculosis treatment was not effective. The anti-nuclear anti-body and anti-nuclear antibody spectrum were negative, therefore, the connective tissue disease was further exclu-ded. After repeated questioning of the medical history and improving thyroid function examination, the diagnosis of hypothyroidism was made. Thus, left thyroxine sodium (25 μg/d) was taken orally, and the patient was discharged home after the condition was improved. During the 6-month follow-up, polyserous effusions were obviously reduced. Conclusion For the elderly patients with polyserous effusion as initial manifestations, it is necessary to be aware of the possibility of hypothyroidism in clinical practice. Heightened awareness and relevant examinations are helpful for early diagnosis and treatment.关键词
甲状腺功能减退症/误诊/结核Key words
Hypothyroidism/Misdiagnosis/Tuberculosis分类
医药卫生引用本文复制引用
李福青,方兴国,王红..以多浆膜腔积液为首发表现的原发性甲减误诊讨论[J].临床误诊误治,2018,31(6):25-27,3.
