• 제목/요약/키워드: 갑상선기능항진증

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케이스로 보는 개 부신피질기능항진증과 갑상선기능저하증

  • Kim, Jin-Gyeong
    • Journal of the korean veterinary medical association
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    • v.43 no.6
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    • pp.526-535
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    • 2007
  • 부신피질기능항진증(HAC)과 갑상선기능저하증은 개에 있어 가장 일반적인 호르몬 질환이라고 할수있다. 정확한 진단을하고 가장 알맞은 검사 방법을 선택하기 위해서는 각 진단방법과 그에 대한 한계점을 명확히 알아야 할 것이다. 다음은 임상 증상에 따라 단계적으로 적용할수있는 호르몬 진단법에 대한 소개로써 복잡한 호르몬 질환에 대한 이해에 도움이 될 것으로 생각된다.

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From A to Z of Thyroid Disease with Which the Psychiatrist should be Familiar (정신과의사가 알아야 할 갑상선질환의 A부터 Z까지)

  • Chung, Jae-Hoon
    • Korean Journal of Psychosomatic Medicine
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    • v.14 no.2
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    • pp.73-80
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    • 2006
  • Thyroid disease is highly Prevalent, and many Physicians encounter the Patients with thyroid disease on many occasions. However, many doctors may make an erroneous diagnosis because of its variable clinical manifestation. Thyroid tumor is the most common disease which is detected in more than 30% of general population. Recently, the incidence of thyroid cancer is increasing to be a leading position in female cancer. Therefore, clinical physicians should be familiar with thyroid disease due to its high prevalence and heterogeneous clinical features.

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A Case Report on The Relieving Effect of Herbal Medicine on Clinical Symptoms in Patients with Hyperthyroidism Taking Methimazole (메티마졸 투여 중인 갑상선기능항진증 환자에서 한약의 임상증상 완화효과에 대한 증례보고)

  • Henja Yun
    • Herbal Formula Science
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    • v.31 no.3
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    • pp.203-213
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    • 2023
  • Objectives : The purpose of this study is to report the symptomatic relief effect of a herbal prescription combined with methimazole for hyperthyroidism caused by Graves' disease. Methods : After diagnosis of hyperthyroidism, methimazole was initially administered alone. As the clinical symptoms continued, a herbal medicine combining Gamiondam-tang and Cheongsimyeonja-eum was administered together with methimazole. Blood concentrations of hormones were measured, and the degree of clinical symptoms was measured using the NRS scale. The effect of herbal medicine on heat intolerance was analyzed by Wilcoxon rank sum test, and the relationship between thyroid hormone and heat intolerance was analyzed by Pearson's correlation coefficient. Results : Heat intolerance symptoms were significantly reduced when the herbal prescription was administered in parallel than when methimazole was administered alone (w=296, p=0.001). The decrease in heat intolerance was not related to thyroid hormone levels (p=0.27, 0.37). Conclusions : It was found that the herbal medicine combining Gamiondam-tang and Cheongsimyeonja-eum was effective in treating hyperthyroidism symptoms including heat intolerance.

Diagnosis and Management of Feline Hyperthyroidism Complicated with Chronic Kidney Disease (고양이에서 만성 신부전에 병발한 갑상선 기능 항진증의 진단과 치료)

  • Kang, Min-Hee;Park, Hee-Myung
    • Journal of Veterinary Clinics
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    • v.27 no.6
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    • pp.723-725
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    • 2010
  • A 14-year-old spayed, mixed breed, female cat was admitted for evaluation of a polyphagia, hyperactivity and chronic weight loss. Physical examination revealed a tachycardia and mild elevated systemic blood pressure. This cat had azotemia and mild increased total thyroxin (TT4) and free thyroxin concentration. However triiodothyronine (T3) level was normal, the T3 suppression test for definite diagnosis were made. No changes of TT4 serum concentration before and after the exogenous T3 administration in this cat showed hyperthyroidism. This cat was diagnosed as mild hyperthyroidism concurrent with chronic kidney disease (CKD) and antithyroid drug, methimazole, was used for medical management. This is first case report describing clinical and laboratory characteristic features of feline hyperthyroidism complicated with CKD and its clinical outcome using medical management in our country.

Fibrous Dysplasia Associated with Primary Hyperparathyroidism Absent of McCune-Albright Syndrome: Tc-99m MIBI and Tc-99m MDP Findings

  • Kim, Seong-Jang;Seok, Ju-Won;Kim, In-Ju;Kim, Yong-Ki;Kim, Dong-Soo
    • The Korean Journal of Nuclear Medicine
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    • v.37 no.2
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    • pp.128-134
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    • 2003
  • 섬유성 골이형성증은 비정상적인 섬유성 골조직으로 대체되며 느리게 진행하는 골병변이다. 섬유성 골이형성증과 부갑상선기능항진증은 흔하게 관찰되는 질환이나 McCune-Albright 증후군 없이 일차성 부갑상선기능항진증에 동반된 섬유성 골 이형성증은 거의 보고된바가 없다. Tc-99m MDP 골스캔이 섬유성 골이형성증의 진단에 유용하다고 알려져 있으나, Tc-99m MIBI 영상은 아직 보고된 바가 없다. 저자들은 McCune-Albright 증후군이 없이 부갑상선기능항진증에 동반된 섬유성 골 이형성증의 Tc-99m MIBI 스캔과 Tc-99m MDP 골스캔의 영상을 비교하였다. Tc-99m MDP 골스캔상 병변 부위에서 증가된 섭취 소견을 보였으며, Tc-99m MIBI 조기영상에서도 동일한 위치에서 섭취증가가 관찰되었다. 2시간 지연 Tc-99m MIBI 영상에서는 Tc-99m MIBI의 섭취가 배출되는 소견을 보였다. 섬유성 골이형성증 병변에서 Tc-99m MIBI 스캔이 유용할 것이라고 생각하며, 섬유성 골이형성증 병변에서 Tc-99m MIBI의 섭취를 증가시키는 인자에 대한 더 많은 연구가 필요할 것으로 생각한다.

건강토픽

  • KOREA ASSOCIATION OF HEALTH PROMOTION
    • 건강소식
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    • v.2 no.10 s.13
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    • pp.40-47
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    • 1974
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