The Korean Journal of Medicine

  • 제86권1호
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  • Pages.79-83
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  • 2014
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  • 1738-9364(pISSN)
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  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
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저칼슘혈증을 동반한 급성 화농성 갑상선염 1예

A Case of Acute Suppurative Thyroiditis Complicated by Hypocalcemia

  • 유승진 (울산대학교 의과대학 강릉아산병원 내분비내과) ;
  • 심명숙 (울산대학교 의과대학 강릉아산병원 내분비내과) ;
  • 김원준 (울산대학교 의과대학 강릉아산병원 내분비내과) ;
  • 김은정 (울산대학교 의과대학 강릉아산병원 내분비내과) ;
  • 오광훈 (울산대학교 의과대학 강릉아산병원 내분비내과) ;
  • 이제훈 (울산대학교 의과대학 강릉아산병원 내분비내과) ;
  • 권준성 (울산대학교 의과대학 강릉아산병원 내분비내과)
  • Yoo, Seung Jin (Division of Endocrinology, Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Shim, Myoung Sook (Division of Endocrinology, Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Kim, Won Jun (Division of Endocrinology, Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Kim, Eun Jung (Division of Endocrinology, Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Oh, Kwang Hoon (Division of Endocrinology, Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Lee, Je Hoon (Division of Endocrinology, Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Kwon, Jun Sung (Division of Endocrinology, Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine)
  • 투고 : 2013.06.10
  • 심사 : 2013.08.29
  • 발행 : 2014.01.01
⟨ 이전 논문 다음 논문 ⟩

초록

저자들은 급성 화농성 갑상선염을 진단하고 항생제, 칼슘제 및 $1{\alpha}$-OH-D3 투여로 임상증상 및 부갑상선기능, 저칼슘혈증이 호전된 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

We report a case of acute suppurative thyroiditis complicated by idiopathic hypoparathyroidism. The patient was a 49-year-old female who visited our clinic with a painful goiter on the left lobe of the thyroid gland. She was hypocalcemic, which was accompanied unusually by acute suppurative thyroiditis. She also suffered from tetany of both hands and legs. She had undergone a right subtotal thyroidectomy at another hospital 23 years previously due to a benign thyroid nodule. Intact parathyroid hormone (PTH) levels were increased, but other laboratory findings were normal. No special treatment was administered for the acute suppurative thyroiditis, except antibiotics, to observe its natural course. Her PTH levels decreased and serum calcium returned to normal. The complication of acute suppurative thyroiditis suggested the possible involvement of idiopathic hypoparathyroidism.

키워드

참고문헌

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