• Title/Summary/Keyword: 갑상선기능

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Langerhans Cell Histiocytosis of Thyroid Gland : A Case Report (갑상선에 생긴 랑게르한스 세포 조직구증 1예)

  • Jang, Chul Soon;Yeon, Je Yeob;Park, Soo Kyoung;Lee, Dong Wook
    • Korean Journal of Head & Neck Oncology
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    • v.29 no.1
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    • pp.18-21
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    • 2013
  • 랑게르한스 세포 조직구증은 골수에서 유래하는 랑게르한스 세포 조직구의 이상 증식에 의해 발병하는 희귀한 질병으로 알려져 있다. 비록 모든 장기에서 발생 할 수 있으나 갑상선을 침범하는 경우는 매우 드물다. 18세 남자가 5달전부터 점점 커지는 갑상선 종괴를 주소로 내원하여 세침흡인 세포검사, 총샘검, 경부 전산화단층촬영을 시행하였다. 세침흡인 세포검사에서 악성신생물이 의심되었고, 총생검에서 랑게르한스 세포 조직구증으로 나타났다. 경부 전산화단층촬영에서는 우측 갑상선에서 윤곽이 잘 구분되는 저음영의 종괴와 우측 기관 주위 림프절의 종대가 관찰되었다. 갑상선 전절제술과 우측 중앙 선택적 경부 림프절 청소술이 시행되었다. 랑게르한스 세포 조직구증이 갑상선을 침범하는 경우는 드물지만 갑상선 비대가 있는 환자가 뇌하수체 기능부전의 증상이나 뼈와 폐의 침범과 관련된 증상을 호소한다면 갑상선의 랑게르한스 세포 조직구증 침범을 고려해야 한다. 또한, 다른 장기의 랑게르한스 세포 조직구증을 치료한 과거력이 있는 경우는 갑상선 종괴를 감별 진단하는데 있어 랑게르한스 세포 조직구증을 고려해야 한다.

Townes-Brocks Syndrome Associated with Hypothyroidism in a Korean Newborn : A Case Report

  • Park, Shin-Young;Lee, Woo-Ryoung
    • Journal of Genetic Medicine
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    • v.5 no.2
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    • pp.136-138
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    • 2008
  • Townes-Brocks syndrome (TBS) is an autosomal dominant disorder with multiple malformations which include dysplastic ears, hearing loss, preaxial polydactyly and/or triphalangeal thumbs, imperforate anus, renal anomalies, congenital heart defects, and mental retardation. However, hypothyroidism is not a common feature of TBS. There have been only three reported cases of TBS associated with hypothyroidism. We report the first case of TBS associated with hypothyroidism in Korea.

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PSEUDOHYPOPARATHYROIDISM : CASE REPORT (가성부갑상선 기능저하증 환아의 구강 증상)

  • Kim, Seong-Oh;Hong, Eun-Kyoung;Choi, Hyung-Joon;Lee, Jae-Ho;Son, Heung-Kyu
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.2
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    • pp.262-266
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    • 2004
  • The parathyroid hormone plays a major role in the metabolism of calcium and phosphorus. In hypoparathyroidism the parathyroid glands are atrophied or absent associated with autoantibodies against parathyroid tissue. Pseudohypoparathyroidism is a metabolic disease caused by the disturbance in peripheral action of parathormone, but parathormone level is normal. In general, patients with pseudohypoparathyroidism have short stature, round face, brachydactylia, obesity, mental retardation, cataracts & ectopic calcifications on soft tissues. Dental manifestations are enamel hypoplasia, delayed eruption, blunting of root apex, hypodontia, pulp calcification, thickened lamina dura, excessive caries & malocclusion. In this case, intraoral examination showed enamel hypoplasia on the erupted permanent teeth & hypermobility on the remaining deciduous teeth. From the radiographic view severe dental anomalies were observed on canines and shortening and blunting of root apex was observed on mandibular incisors. Pathologic root resorption was also observed on deciduous teeth.

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The Effect of Thyroxine Status on Hepatic Levels of 10-Formyltetrahydrofolate Dehydrogenase (갑상선 호르몬이 흰 쥐의 간에 있는 10-Formyltetrahydrofolate Dehydrogenase에 미치는 영향)

  • Min, Hye-Seon
    • Journal of Nutrition and Health
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    • v.24 no.4
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    • pp.350-355
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    • 1991
  • The effect of thyroid hormone on hepatic levels of 10-formyltetrahydrofolate dehydrogenase (10-formyltetrahydrofolate : NADP oxidoreductase, E.C. 1.5.1.6.) was studied using Sprague-Dawley rat. Hypothyroidism increased histidine oxidation by 5 fold and increased 10-formyltetrahydrofolate dehydrogenase activity by 142%, and also decreased methylenetetrahydrofolate reductase activity by 52%. Decreased methylenetetrahydrofolate reductase acts by decreasing synthesis of 5-methyl folate, thereby increasing the proportion of non-methyl folate required for folate-dependent reactions. Increased histidine oxidation produced by hypothyroidism may be attributed to its effect in decreasing 10-formyltetrahydrofolate dehydrogenase.

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A Case of Thyroid Hemiagenesis (갑상선 반쪽 무형성증 1례)

  • Kim, Joon-Sung;Lee, Kyung-Yeon;Kim, Ja-Hyeong;Park, Sang-Kyu;Jeong, Jin-Young;Oh, Ki-Won
    • Neonatal Medicine
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    • v.16 no.2
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    • pp.244-247
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    • 2009
  • Thyroid hemiagenesis is a rare congenital anomaly in which one thyroid lobe fails to develop. Thyroid hemiagenesis usually does not cause clinical symptoms by itself, therefore, this anomaly is detected incidentally during the evaluation of other thyroid disorders. We describe a rare case of thyroid hemiagenesis in a 1-month-old female infant who presented with prolonged jaundice and abnormal laboratory findings of congenital hypothyroidism. The patient showed the characteristic features of thyroid hemiagenesis of the left lobe in Tc-99m pertechnetate scintigraphy and ultrasonography of the thyroid gland. The patient has improved with supportive care, including thyroid hormone replacement. Further long-term follow-up is required for the investigation of recurrence of thyroid abnormalities.

Concurrent Medullary Carcinoma and Hashimoto's Thyroiditis: A Case Report with an Emphasis on US Features (하시모토 갑상선염과 동반된 갑상선 수질암의 증례 보고: 초음파 소견을 중심으로)

  • Hyoung Yeob Kim;Noh Hyuck Park
    • Journal of the Korean Society of Radiology
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    • v.84 no.5
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    • pp.1146-1151
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    • 2023
  • Medullary thyroid carcinoma (MTC) is a rare malignancy that originates from the parafollicular cells of the thyroid gland. Hashimoto's thyroiditis (HT) is an autoimmune thyroid disease and is the most common cause of hypothyroidism. Previous studies have frequently discussed the association among HT, papillary thyroid carcinoma, and thyroid lymphoma. However, there have been few reports on the ultrasonographic findings of concomitant HT and MTC. In the present case, a heterogeneous hypoechoic background parenchymal echogenicity, with intraglandular echogenic strands, and increased vascularity were observed. A concurrent, ill-defined, parallel-oriented, heterogeneous hypoechoic mass with central microcalcifications was located at the left thyroid gland, consistent with reported US findings of medullary thyroid carcinoma except for an ill-defined margin in our case.